Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.43 / $929.99 / $1,666.96	Facility		$409.43	$929.99	$1,666.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $384.57 / $497.17	Professional		$310.00	$384.57	$497.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $1,520.74	Facility		$584.90	$584.90	$1,520.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $877.06	Professional		$288.83	$288.83	$877.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Facility		$584.90	$584.90	$584.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $426.98 / $584.90 / $584.90	Professional		$426.98	$584.90	$584.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.69 / $1,184.29 / $1,517.55	Facility		$581.69	$1,184.29	$1,517.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $853.38 / $2,819.22	Professional		$467.92	$853.38	$2,819.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $701.88 / $1,316.03	Facility		$294.00	$701.88	$1,316.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $614.15 / $772.07 / $1,269.23	Professional		$614.15	$772.07	$1,269.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $584.90 / $1,060.59	Professional		$497.17	$584.90	$1,060.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $581.69 / $1,426.86 / $1,517.55	Facility		$581.69	$1,426.86	$1,517.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $438.68 / $1,345.27	Professional		$380.19	$438.68	$1,345.27
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $1,230.33	Professional		$245.66	$350.94	$1,230.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $672.62 / $672.62	Facility		$584.90	$672.62	$672.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $584.90 / $703.00	Professional		$497.17	$584.90	$703.00