Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $1,149.83 / $1,927.65	Facility		$676.37	$1,149.83	$1,927.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Professional		$574.91	$574.91	$574.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $676.37 / $1,758.56	Facility		$676.37	$676.37	$1,758.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $180.36 / $827.85	Professional		$180.36	$180.36	$827.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $676.37 / $676.37	Facility		$676.37	$676.37	$676.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $493.75 / $676.37 / $676.37	Professional		$493.75	$676.37	$676.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $672.65 / $1,369.43 / $1,754.79	Facility		$672.65	$1,369.43	$1,754.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $987.13 / $3,260.10	Professional		$541.10	$987.13	$3,260.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $811.64 / $1,521.83	Facility		$294.00	$811.64	$1,521.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $710.19 / $892.81 / $1,467.72	Professional		$710.19	$892.81	$1,467.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $676.37 / $1,226.46	Professional		$574.91	$676.37	$1,226.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $659.46 / $1,649.92 / $1,754.79	Facility		$659.46	$1,649.92	$1,754.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $845.46 / $1,555.65	Professional		$439.64	$845.46	$1,555.65
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $405.82 / $1,186.96	Professional		$284.08	$405.82	$1,186.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $777.81 / $777.81	Facility		$676.37	$777.81	$777.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $676.37 / $812.94	Professional		$574.91	$676.37	$812.94