Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.52 / $290.75 / $699.53	Facility		$245.52	$290.75	$699.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.52 / $291.92 / $421.23	Professional		$245.52	$291.92	$421.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.21 / $285.25 / $916.72	Professional		$218.21	$285.25	$916.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $517.67 / $556.65 / $556.65	Facility		$517.67	$556.65	$556.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $556.65 / $556.65 / $556.65	Professional		$556.65	$556.65	$556.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $375.74	Facility		$375.74	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $375.74	Professional		$319.38	$319.38	$375.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $668.13 / $1,503.29	Facility		$319.00	$668.13	$1,503.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $394.20 / $501.10 / $1,217.33	Professional		$394.20	$501.10	$1,217.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.67 / $426.77 / $556.65	Professional		$401.67	$426.77	$556.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $668.13	Facility		$375.74	$375.74	$668.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $375.74 / $1,035.59	Professional		$319.38	$375.74	$1,035.59
United Facility/Professional Professional Modifier Low / Median / High Price $222.22 / $399.99 / $611.09	Professional		$222.22	$399.99	$611.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $401.67 / $401.67 / $417.41	Facility		$401.67	$401.67	$417.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $401.67 / $401.67 / $426.77	Professional		$401.67	$401.67	$426.77