Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $338.84 / $338.84	Facility		$208.93	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $457.09	Professional		$199.53	$338.84	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $676.08	Professional		$323.59	$323.59	$676.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $51.29 / $676.08	Facility		$47.86	$51.29	$676.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $676.08	Professional		$51.29	$51.29	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $338.84 / $645.65	Facility		$64.57	$338.84	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $338.84 / $1,445.44	Professional		$46.77	$338.84	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $467.74	Professional		$446.68	$446.68	$467.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $177.83 / $302.00	Facility		$23.44	$177.83	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $426.58	Professional		$162.18	$257.04	$426.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $446.68	Facility		$309.03	$446.68	$446.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $467.74	Professional		$371.54	$446.68	$467.74