Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.02 / $533.02 / $730.91	Facility		$533.02	$533.02	$730.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $568.50 / $913.66	Professional		$523.79	$568.50	$913.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.05 / $560.05 / $1,464.51	Professional		$560.05	$560.05	$1,464.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.09 / $102.09 / $1,327.17	Facility		$102.09	$102.09	$1,327.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $102.09 / $1,327.17	Professional		$102.09	$102.09	$1,327.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $695.55	Facility		$568.02	$568.02	$695.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $568.02 / $695.55	Professional		$67.13	$568.02	$695.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $576.89 / $721.11 / $721.11	Professional		$576.89	$721.11	$721.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.11 / $721.11 / $721.11	Facility		$721.11	$721.11	$721.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.11 / $1,117.43 / $1,187.27	Professional		$721.11	$1,117.43	$1,187.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $695.55	Facility		$568.02	$568.02	$695.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $568.02 / $695.55	Professional		$127.06	$568.02	$695.55
United Facility/Professional Professional Modifier Low / Median / High Price $414.12 / $649.49 / $1,035.30	Professional		$414.12	$649.49	$1,035.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $800.49 / $1,117.43 / $1,117.43	Facility		$800.49	$1,117.43	$1,117.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $721.11 / $1,117.43 / $1,187.27	Professional		$721.11	$1,117.43	$1,187.27