Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.84 / $569.09 / $1,016.04	Facility		$490.84	$569.09	$1,016.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.84 / $590.42 / $604.66	Professional		$490.84	$590.42	$604.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.70 / $502.70 / $628.37	Facility		$502.70	$502.70	$628.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.74 / $628.37 / $1,147.39	Professional		$449.74	$628.37	$1,147.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $628.37 / $666.64	Facility		$471.24	$628.37	$666.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $770.64	Professional		$628.37	$628.37	$770.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $576.20 / $1,333.80	Facility		$319.00	$576.20	$1,333.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $641.66 / $663.32 / $766.61	Professional		$641.66	$663.32	$766.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.16 / $542.21 / $542.21	Professional		$518.16	$542.21	$542.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $597.00 / $666.64	Facility		$471.24	$597.00	$666.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $812.96	Professional		$628.37	$628.37	$812.96
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $622.44 / $794.35	Professional		$592.79	$622.44	$794.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $516.58 / $516.58 / $516.58	Facility		$516.58	$516.58	$516.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $516.58 / $516.58 / $518.16	Professional		$516.58	$516.58	$518.16