Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.24 / $365.43 / $627.39	Facility		$224.24	$365.43	$627.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.24 / $265.50 / $474.90	Professional		$224.24	$265.50	$474.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $280.48 / $672.10	Professional		$221.20	$280.48	$672.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $354.72	Facility		$36.11	$36.11	$354.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $354.72 / $390.84	Professional		$36.11	$354.72	$390.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.25 / $840.21 / $2,614.34	Facility		$646.25	$840.21	$2,614.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.60 / $362.81 / $1,014.07	Professional		$209.60	$362.81	$1,014.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $185.14 / $294.00 / $574.63	Facility		$185.14	$294.00	$574.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $311.06 / $492.25	Professional		$223.75	$311.06	$492.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $240.03 / $390.28	Professional		$75.75	$240.03	$390.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $277.01 / $840.21 / $2,858.63	Facility		$277.01	$840.21	$2,858.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $405.30 / $938.94	Professional		$240.00	$405.30	$938.94
United Facility/Professional Professional Modifier Low / Median / High Price $217.22 / $316.97 / $658.05	Professional		$217.22	$316.97	$658.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $261.12 / $261.12 / $666.80	Facility		$261.12	$261.12	$666.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $328.93 / $657.44	Professional		$223.75	$328.93	$657.44