Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.70 / $516.36 / $926.80	Facility		$231.70	$516.36	$926.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $248.25 / $456.78	Professional		$100.46	$248.25	$456.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $331.00 / $860.60	Facility		$331.00	$331.00	$860.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $132.40 / $499.81	Professional		$65.62	$132.40	$499.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $198.60 / $331.00 / $331.00	Facility		$198.60	$331.00	$331.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $241.63 / $331.00 / $331.00	Professional		$241.63	$331.00	$331.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.98 / $699.24 / $883.93	Facility		$404.98	$699.24	$883.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.95 / $401.76 / $1,073.56	Professional		$195.95	$401.76	$1,073.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $331.00 / $744.75	Facility		$117.00	$331.00	$744.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $347.55 / $605.73	Professional		$231.70	$347.55	$605.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.48 / $314.45 / $590.36	Professional		$203.48	$314.45	$590.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $699.24 / $883.93	Facility		$254.50	$699.24	$883.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $331.00 / $993.00	Professional		$200.88	$331.00	$993.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $198.60 / $513.04	Professional		$111.00	$198.60	$513.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $350.86 / $350.86	Facility		$16.03	$350.86	$350.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $264.80 / $331.00 / $389.59	Professional		$264.80	$331.00	$389.59