Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.69 / $650.26 / $927.52	Professional		$479.69	$650.26	$927.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.31 / $610.39 / $789.75	Professional		$488.31	$610.39	$789.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $107.32 / $1,395.16	Facility		$107.32	$107.32	$1,395.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $107.32 / $1,395.16	Professional		$107.32	$107.32	$1,395.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $612.00	Facility		$612.00	$612.00	$612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $612.00 / $734.40	Professional		$69.77	$612.00	$734.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $595.52 / $744.40 / $744.40	Professional		$595.52	$744.40	$744.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.40 / $1,023.35 / $1,087.31	Professional		$744.40	$1,023.35	$1,087.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $612.00	Facility		$612.00	$612.00	$612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $612.00 / $734.40	Professional		$69.77	$612.00	$734.40
United Facility/Professional Professional Modifier Low / Median / High Price $288.29 / $432.43 / $744.09	Professional		$288.29	$432.43	$744.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.35 / $1,023.35 / $1,023.35	Facility		$1,023.35	$1,023.35	$1,023.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $744.40 / $1,023.35 / $1,087.31	Professional		$744.40	$1,023.35	$1,087.31