Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.69 / $823.48 / $1,498.85	Facility		$448.69	$823.48	$1,498.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.62 / $395.90 / $749.58	Professional		$322.62	$395.90	$749.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $527.87 / $1,372.46	Facility		$527.87	$527.87	$1,372.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.17 / $211.15 / $761.19	Professional		$127.17	$211.15	$761.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $316.72 / $527.87 / $527.87	Facility		$316.72	$527.87	$527.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $527.87 / $527.87	Professional		$527.87	$527.87	$527.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.66 / $1,115.14 / $1,622.14	Facility		$645.66	$1,115.14	$1,622.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.49 / $819.99 / $1,712.56	Professional		$320.49	$819.99	$1,712.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $332.00 / $1,187.71	Facility		$125.00	$332.00	$1,187.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $369.51 / $550.73 / $966.00	Professional		$369.51	$550.73	$966.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $501.48 / $957.18	Professional		$422.30	$501.48	$957.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,288.08 / $1,622.14	Facility		$254.50	$1,288.08	$1,622.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $343.12 / $646.29 / $1,583.61	Professional		$343.12	$646.29	$1,583.61
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $316.72 / $800.03	Professional		$221.71	$316.72	$800.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $559.54 / $559.54	Facility		$10.29	$559.54	$559.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $448.69 / $527.87 / $621.29	Professional		$448.69	$527.87	$621.29