Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.54 / $950.68 / $1,704.04	Facility		$418.54	$950.68	$1,704.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $393.13 / $508.22	Professional		$316.89	$393.13	$508.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $597.91 / $1,554.57	Facility		$597.91	$597.91	$1,554.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $910.96	Professional		$239.16	$239.16	$910.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Facility		$597.91	$597.91	$597.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $436.47 / $597.91 / $597.91	Professional		$436.47	$597.91	$597.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.49 / $1,211.15 / $1,551.97	Facility		$717.49	$1,211.15	$1,551.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.78 / $872.26 / $2,881.93	Professional		$349.78	$872.26	$2,881.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $717.49 / $1,345.30	Facility		$294.00	$717.49	$1,345.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $627.80 / $783.26 / $1,297.46	Professional		$627.80	$783.26	$1,297.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.22 / $597.91 / $1,084.19	Professional		$508.22	$597.91	$1,084.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,459.22 / $1,551.97	Facility		$597.00	$1,459.22	$1,551.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $651.72 / $1,376.91	Professional		$388.64	$651.72	$1,376.91
United Facility/Professional Facility Modifier Low / Median / High Price $538.12 / $538.12 / $597.91	Facility		$538.12	$538.12	$597.91
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $358.75 / $906.18	Professional		$251.12	$358.75	$906.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $687.58 / $687.58	Facility		$597.91	$687.58	$687.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $508.22 / $597.91 / $718.64	Professional		$508.22	$597.91	$718.64