Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.84 / $432.84 / $535.20	Facility		$432.84	$432.84	$535.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.24 / $534.66 / $660.32	Professional		$430.24	$534.66	$660.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.12 / $428.49 / $634.70	Professional		$356.12	$428.49	$634.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.39 / $776.39 / $776.39	Facility		$776.39	$776.39	$776.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.39 / $776.39 / $776.39	Professional		$776.39	$776.39	$776.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.92 / $624.92 / $624.92	Facility		$624.92	$624.92	$624.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.70 / $712.93 / $1,589.07	Professional		$457.70	$712.93	$1,589.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $370.00 / $640.10	Facility		$358.00	$370.00	$640.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $383.80 / $789.84	Professional		$383.80	$383.80	$789.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.27 / $520.27 / $592.71	Facility		$520.27	$520.27	$592.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.68 / $697.16 / $1,178.85	Professional		$383.68	$697.16	$1,178.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $624.92 / $624.92 / $624.92	Facility		$624.92	$624.92	$624.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $640.87 / $1,569.27	Professional		$293.51	$640.87	$1,569.27
United Facility/Professional Professional Modifier Low / Median / High Price $308.57 / $424.78 / $846.58	Professional		$308.57	$424.78	$846.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $520.27 / $592.71 / $1,131.05	Facility		$520.27	$592.71	$1,131.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $452.51 / $687.69 / $1,387.94	Professional		$452.51	$687.69	$1,387.94