Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.16 / $489.26 / $1,060.42	Facility		$397.16	$489.26	$1,060.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $477.75 / $489.26	Professional		$460.48	$477.75	$489.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.74 / $406.74 / $508.43	Facility		$406.74	$406.74	$508.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $508.43 / $1,121.40	Professional		$377.51	$508.43	$1,121.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $479.66 / $479.66 / $527.63	Facility		$479.66	$479.66	$527.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $479.66 / $479.66 / $479.66	Professional		$479.66	$479.66	$479.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $508.43 / $539.39	Facility		$489.26	$508.43	$539.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $575.60	Professional		$508.43	$508.43	$575.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $518.04 / $877.76	Facility		$319.00	$518.04	$877.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.20 / $494.20 / $620.28	Professional		$494.20	$494.20	$620.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.47 / $526.47 / $526.47	Professional		$526.47	$526.47	$526.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $508.43 / $555.00	Facility		$489.26	$508.43	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $599.55	Professional		$508.43	$508.43	$599.55
United Facility/Professional Professional Modifier Low / Median / High Price $541.92 / $587.86 / $771.30	Professional		$541.92	$587.86	$771.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $526.47 / $526.47 / $526.47	Professional		$526.47	$526.47	$526.47