Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.87 / $372.78 / $424.75	Facility		$309.87	$372.78	$424.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.87 / $424.75 / $664.62	Professional		$309.87	$424.75	$664.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.12 / $444.12 / $773.16	Professional		$444.12	$444.12	$773.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $65.08 / $846.04	Facility		$65.08	$65.08	$846.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $65.08 / $846.04	Professional		$65.08	$65.08	$846.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $150.00 / $154.50	Professional		$60.41	$150.00	$154.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $291.70 / $291.70	Professional		$233.36	$291.70	$291.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.70 / $291.70 / $291.70	Facility		$291.70	$291.70	$291.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.70 / $551.70 / $586.17	Professional		$291.70	$551.70	$586.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $555.00	Facility		$150.00	$150.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $150.00 / $154.50	Professional		$60.41	$150.00	$154.50
United Facility/Professional Professional Modifier Low / Median / High Price $222.57 / $333.85 / $551.07	Professional		$222.57	$333.85	$551.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $420.08 / $551.70 / $603.87	Facility		$420.08	$551.70	$603.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $291.70 / $551.70 / $586.17	Professional		$291.70	$551.70	$586.17