Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.45 / $395.58 / $513.29	Facility		$324.45	$395.58	$513.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.82 / $513.29 / $740.52	Professional		$318.82	$513.29	$740.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.90 / $441.90 / $891.37	Professional		$441.90	$441.90	$891.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $74.23 / $964.99	Facility		$74.23	$74.23	$964.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $74.23 / $964.99	Professional		$74.23	$74.23	$964.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $255.74 / $263.41	Professional		$62.91	$255.74	$263.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.65 / $454.56 / $454.56	Professional		$363.65	$454.56	$454.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.56 / $454.56 / $454.56	Facility		$454.56	$454.56	$454.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.56 / $680.14 / $722.65	Professional		$454.56	$680.14	$722.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $555.00	Facility		$255.74	$255.74	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $255.74 / $263.41	Professional		$62.91	$255.74	$263.41
United Facility/Professional Professional Modifier Low / Median / High Price $254.46 / $381.70 / $636.16	Professional		$254.46	$381.70	$636.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $472.63 / $680.14 / $680.14	Facility		$472.63	$680.14	$680.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $454.56 / $680.14 / $722.65	Professional		$454.56	$680.14	$722.65