Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.62 / $228.09 / $1,105.07	Facility		$192.62	$228.09	$1,105.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $229.64 / $330.44	Professional		$192.62	$229.64	$330.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.18 / $223.77 / $640.41	Professional		$171.18	$223.77	$640.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $406.10 / $436.67 / $436.67	Facility		$406.10	$436.67	$436.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $436.67 / $436.67 / $436.67	Professional		$436.67	$436.67	$436.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $420.61	Facility		$420.61	$420.61	$420.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $357.52 / $420.61	Professional		$357.52	$357.52	$420.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $524.12 / $1,179.27	Facility		$319.00	$524.12	$1,179.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.23 / $393.09 / $954.95	Professional		$309.23	$393.09	$954.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.12 / $334.81 / $436.67	Professional		$315.12	$334.81	$436.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $597.00	Facility		$420.61	$420.61	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $357.52 / $761.72	Professional		$245.00	$357.52	$761.72
United Facility/Professional Professional Modifier Low / Median / High Price $174.32 / $327.31 / $451.75	Professional		$174.32	$327.31	$451.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $315.12 / $315.12 / $327.47	Facility		$315.12	$315.12	$327.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $315.12 / $315.12 / $334.81	Professional		$315.12	$315.12	$334.81