Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.60 / $477.60 / $477.60	Professional		$477.60	$477.60	$477.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $682.29 / $1,596.56	Facility		$55.00	$682.29	$1,596.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $77.30 / $808.99	Professional		$77.30	$77.30	$808.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $682.29 / $682.29 / $682.29	Facility		$682.29	$682.29	$682.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $498.07 / $682.29 / $682.29	Professional		$498.07	$682.29	$682.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.54 / $1,381.44 / $1,770.18	Facility		$678.54	$1,381.44	$1,770.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.83 / $995.52 / $3,288.64	Professional		$545.83	$995.52	$3,288.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $784.63 / $1,535.15	Facility		$319.00	$784.63	$1,535.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $716.40 / $900.62 / $1,480.57	Professional		$716.40	$900.62	$1,480.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.95 / $682.29 / $1,237.19	Professional		$579.95	$682.29	$1,237.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $665.24 / $1,664.39 / $1,770.18	Facility		$665.24	$1,664.39	$1,770.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $443.49 / $852.86 / $1,569.27	Professional		$443.49	$852.86	$1,569.27
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $409.37 / $1,034.07	Professional		$286.56	$409.37	$1,034.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $682.29 / $784.62 / $784.62	Facility		$682.29	$784.62	$784.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $579.95 / $682.29 / $820.06	Professional		$579.95	$682.29	$820.06