Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.23 / $637.54 / $1,087.91	Facility		$425.23	$637.54	$1,087.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.27 / $497.17 / $802.33	Professional		$437.27	$497.17	$802.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $1,520.74	Facility		$584.90	$584.90	$1,520.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $356.78 / $1,435.61	Professional		$288.83	$356.78	$1,435.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $584.90 / $584.90	Facility		$350.94	$584.90	$584.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $426.98 / $584.90 / $584.90	Professional		$426.98	$584.90	$584.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $1,184.29 / $1,517.55	Facility		$408.71	$1,184.29	$1,517.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.53 / $870.19 / $2,198.21	Professional		$394.53	$870.19	$2,198.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $760.37 / $1,316.03	Facility		$319.00	$760.37	$1,316.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.05 / $467.92 / $1,070.36	Professional		$269.05	$467.92	$1,070.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $555.66 / $808.91	Professional		$467.92	$555.66	$808.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $390.97 / $1,235.61 / $1,517.55	Facility		$390.97	$1,235.61	$1,517.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $706.58 / $1,783.29	Professional		$467.92	$706.58	$1,783.29
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $1,230.33	Professional		$245.66	$350.94	$1,230.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $619.99 / $619.99 / $1,089.28	Facility		$619.99	$619.99	$1,089.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $584.90 / $882.70	Professional		$497.17	$584.90	$882.70