Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.27 / $744.00 / $1,285.08	Facility		$383.27	$744.00	$1,285.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $296.47 / $383.27	Professional		$245.75	$296.47	$383.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $450.91 / $1,172.36	Facility		$450.91	$450.91	$1,172.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $180.36 / $608.73	Professional		$180.36	$180.36	$608.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $450.91 / $450.91	Facility		$450.91	$450.91	$450.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $329.16 / $450.91 / $450.91	Professional		$329.16	$450.91	$450.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.43 / $912.95 / $1,169.84	Facility		$448.43	$912.95	$1,169.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $658.26 / $2,173.39	Professional		$360.73	$658.26	$2,173.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $586.17 / $1,014.55	Facility		$294.00	$586.17	$1,014.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.46 / $595.20 / $978.47	Professional		$473.46	$595.20	$978.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.27 / $450.91 / $817.63	Professional		$383.27	$450.91	$817.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $448.43 / $1,099.94 / $1,169.84	Facility		$448.43	$1,099.94	$1,169.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $338.18 / $1,037.08	Professional		$293.08	$338.18	$1,037.08
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $707.86	Professional		$189.38	$270.55	$707.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $518.54 / $518.54	Facility		$450.91	$518.54	$518.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $383.27 / $450.91 / $541.96	Professional		$383.27	$450.91	$541.96