Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.54 / $810.41 / $1,146.01	Professional		$513.54	$810.41	$1,146.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $862.67 / $862.67 / $1,391.76	Professional		$862.67	$862.67	$1,391.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $106.90 / $801.79 / $1,069.05	Facility		$106.90	$801.79	$1,069.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $801.79 / $1,069.05	Professional		$106.90	$801.79	$1,069.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $394.97	Facility		$394.97	$394.97	$394.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $394.97 / $999.67	Professional		$288.33	$394.97	$999.67
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 $681.69 / $766.80 / $1,161.82	Professional		$681.69	$766.80	$1,161.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.16 / $879.92 / $1,001.02	Professional		$828.16	$879.92	$1,001.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $394.97	Facility		$394.97	$394.97	$394.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $394.97 / $999.67	Professional		$288.33	$394.97	$999.67
United Facility/Professional Professional Modifier Low / Median / High Price $393.77 / $624.80 / $913.40	Professional		$393.77	$624.80	$913.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $828.16 / $828.16 / $828.16	Facility		$828.16	$828.16	$828.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $828.16 / $828.16 / $1,001.02	Professional		$828.16	$828.16	$1,001.02