Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $794.33	Professional		$478.63	$575.44	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $776.25	Professional		$549.54	$616.60	$776.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $1,380.38	Facility		$107.15	$107.15	$1,380.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $1,380.38	Professional		$107.15	$107.15	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $616.60 / $691.83	Professional		$69.18	$616.60	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $741.31	Professional		$588.84	$741.31	$741.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,096.48	Professional		$741.31	$1,000.00	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $323.59 / $537.03	Facility		$42.66	$323.59	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $741.31	Professional		$288.40	$446.68	$741.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,023.29	Facility		$741.31	$1,000.00	$1,023.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,096.48	Professional		$741.31	$1,023.29	$1,096.48