Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $912.01	Professional		$346.74	$575.44	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,698.24	Professional		$676.08	$676.08	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $630.96 / $851.14	Facility		$85.11	$630.96	$851.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $630.96 / $851.14	Professional		$85.11	$630.96	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $794.33	Professional		$269.15	$371.54	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $933.25	Professional		$537.03	$616.60	$933.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $776.25	Professional		$660.69	$724.44	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $354.81 / $660.69	Facility		$39.81	$354.81	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $776.25	Professional		$309.03	$501.19	$776.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $724.44	Facility		$645.65	$660.69	$724.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $691.83 / $724.44	Professional		$660.69	$691.83	$724.44