Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.43 / $739.59 / $1,093.07	Professional		$497.43	$739.59	$1,093.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $905.91 / $1,161.71	Professional		$905.91	$905.91	$1,161.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.17 / $745.56 / $1,367.21	Facility		$105.17	$745.56	$1,367.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $745.56 / $1,367.21	Professional		$105.17	$745.56	$1,367.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $251.69	Facility		$251.69	$251.69	$251.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $251.69 / $1,687.50	Professional		$213.94	$251.69	$1,687.50
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 $616.32 / $665.09 / $994.07	Professional		$616.32	$665.09	$994.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.01 / $763.99 / $811.74	Professional		$749.01	$763.99	$811.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $251.69	Facility		$251.69	$251.69	$251.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $251.69 / $1,687.50	Professional		$213.94	$251.69	$1,687.50
United Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $467.71 / $795.82	Professional		$314.58	$467.71	$795.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $763.99 / $763.99 / $763.99	Facility		$763.99	$763.99	$763.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $763.99 / $763.99 / $811.74	Professional		$763.99	$763.99	$811.74