Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $580.88 / $846.86	Professional		$320.45	$580.88	$846.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.76 / $699.76 / $1,060.20	Professional		$699.76	$699.76	$1,060.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.56 / $649.20 / $865.60	Facility		$86.56	$649.20	$865.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $649.20 / $865.60	Professional		$86.56	$649.20	$865.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Facility		$581.42	$581.42	$763.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $581.42 / $763.12	Professional		$494.22	$581.42	$763.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $498.59 / $577.82 / $804.17	Professional		$498.59	$577.82	$804.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.73 / $705.22 / $718.31	Professional		$663.73	$705.22	$718.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Facility		$581.42	$581.42	$763.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $483.71 / $581.42 / $763.12	Professional		$483.71	$581.42	$763.12
United Facility/Professional Professional Modifier Low / Median / High Price $291.08 / $517.39 / $802.35	Professional		$291.08	$517.39	$802.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $663.73 / $663.73 / $663.73	Facility		$663.73	$663.73	$663.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $663.73 / $663.73 / $718.31	Professional		$663.73	$663.73	$718.31