Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.89 / $589.97 / $1,019.05	Facility		$301.89	$589.97	$1,019.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.26 / $303.93 / $393.32	Professional		$201.26	$303.93	$393.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.56 / $357.56 / $929.66	Facility		$357.56	$357.56	$929.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $216.32 / $709.78	Professional		$176.57	$216.32	$709.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $214.54 / $357.56 / $357.56	Facility		$214.54	$357.56	$357.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $357.56 / $357.56	Professional		$261.02	$357.56	$357.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.85 / $724.28 / $928.09	Facility		$249.85	$724.28	$928.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.92 / $343.13 / $1,723.44	Professional		$265.92	$343.13	$1,723.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.00 / $357.56 / $804.51	Facility		$218.00	$357.56	$804.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $214.54 / $654.33	Professional		$143.02	$214.54	$654.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $343.34 / $599.00	Professional		$297.83	$343.34	$599.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $249.85 / $755.33 / $954.72	Facility		$249.85	$755.33	$954.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $286.93 / $367.61 / $736.57	Professional		$286.93	$367.61	$736.57
United Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $214.54 / $525.30	Professional		$150.18	$214.54	$525.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $411.19 / $411.19 / $913.49	Facility		$411.19	$411.19	$913.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $386.78 / $711.31	Professional		$297.83	$386.78	$711.31