Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.61 / $979.70 / $1,190.34	Facility		$973.61	$979.70	$1,190.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.21 / $1,074.95 / $1,318.12	Professional		$864.21	$1,074.95	$1,318.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.32 / $989.15 / $1,670.95	Professional		$791.32	$989.15	$1,670.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $301.36 / $301.36 / $1,173.40	Facility		$301.36	$301.36	$1,173.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $301.36 / $1,173.40 / $1,477.05	Professional		$301.36	$1,173.40	$1,477.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,097.34 / $1,206.56 / $2,282.90	Facility		$1,097.34	$1,206.56	$2,282.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.06 / $1,699.48 / $3,747.78	Professional		$841.06	$1,699.48	$3,747.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $286.50 / $4,197.96	Facility		$164.00	$286.50	$4,197.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.94 / $2,277.76 / $4,021.71	Professional		$524.94	$2,277.76	$4,021.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.39 / $328.96 / $724.39	Professional		$246.39	$328.96	$724.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,097.34 / $4,781.52	Facility		$555.00	$1,097.34	$4,781.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $376.08 / $1,500.00 / $3,691.84	Professional		$376.08	$1,500.00	$3,691.84
United Facility/Professional Professional Modifier Low / Median / High Price $349.33 / $1,744.97 / $5,234.14	Professional		$349.33	$1,744.97	$5,234.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $352.38 / $352.38 / $669.18	Facility		$352.38	$352.38	$669.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $286.85 / $372.51 / $770.30	Professional		$286.85	$372.51	$770.30