Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.24 / $887.04 / $1,069.95	Facility		$813.24	$887.04	$1,069.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.65 / $1,069.95 / $1,626.24	Professional		$699.65	$1,069.95	$1,626.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.75 / $1,057.75 / $1,899.26	Professional		$1,057.75	$1,057.75	$1,899.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $152.99 / $152.99 / $1,988.87	Facility		$152.99	$152.99	$1,988.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $152.99 / $1,988.87	Professional		$152.99	$152.99	$1,988.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $989.22 / $1,018.90	Professional		$751.21	$989.22	$1,018.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $697.86 / $872.32 / $872.32	Professional		$697.86	$872.32	$872.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $872.32 / $872.32 / $872.32	Facility		$872.32	$872.32	$872.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.32 / $1,449.13 / $1,539.71	Professional		$872.32	$1,449.13	$1,539.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $989.22 / $989.22	Professional		$127.04	$989.22	$989.22
United Facility/Professional Professional Modifier Low / Median / High Price $623.26 / $943.76 / $1,422.24	Professional		$623.26	$943.76	$1,422.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,007.25 / $1,449.13 / $1,449.13	Facility		$1,007.25	$1,449.13	$1,449.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $872.32 / $1,449.13 / $1,539.71	Professional		$872.32	$1,449.13	$1,539.71