Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.83 / $589.54 / $964.65	Professional		$380.83	$589.54	$964.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.27 / $737.27 / $1,168.39	Professional		$737.27	$737.27	$1,168.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $625.78 / $834.40	Facility		$83.43	$625.78	$834.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $625.78 / $834.40	Professional		$83.43	$625.78	$834.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $615.17	Facility		$615.17	$615.17	$615.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $615.17 / $743.21	Professional		$522.90	$615.17	$743.21
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 $517.13 / $650.97 / $1,001.49	Professional		$517.13	$650.97	$1,001.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.89 / $584.89 / $834.40	Professional		$584.89	$584.89	$834.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $615.17	Facility		$615.17	$615.17	$615.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $615.17 / $743.21	Professional		$522.90	$615.17	$743.21
United Facility/Professional Professional Modifier Low / Median / High Price $333.09 / $499.64 / $789.46	Professional		$333.09	$499.64	$789.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $584.89 / $584.89 / $584.89	Facility		$584.89	$584.89	$584.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $584.89 / $584.89 / $621.45	Professional		$584.89	$584.89	$621.45