Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $812.83	Professional		$269.15	$489.78	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,348.96	Professional		$616.60	$616.60	$1,348.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $524.81 / $707.95	Facility		$70.79	$524.81	$707.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $524.81 / $707.95	Professional		$70.79	$524.81	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $741.31	Professional		$436.52	$512.86	$741.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $851.14	Professional		$436.52	$562.34	$851.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $707.95	Professional		$575.44	$575.44	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $354.81 / $616.60	Facility		$38.90	$354.81	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $691.83	Professional		$281.84	$457.09	$691.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $575.44	Facility		$562.34	$562.34	$575.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $707.95	Professional		$562.34	$575.44	$707.95