Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.48 / $1,320.18 / $2,369.56	Facility		$685.48	$1,320.18	$2,369.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.22 / $634.70 / $1,201.70	Professional		$461.22	$634.70	$1,201.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $2,200.30	Facility		$846.27	$846.27	$2,200.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $489.85 / $1,929.50	Professional		$338.51	$489.85	$1,929.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $507.76 / $846.27 / $846.27	Facility		$507.76	$846.27	$846.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $617.78 / $846.27 / $846.27	Professional		$617.78	$846.27	$846.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,015.52 / $1,713.56 / $2,195.73	Facility		$1,015.52	$1,713.56	$2,195.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.77 / $1,097.92 / $2,732.01	Professional		$509.77	$1,097.92	$2,732.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $846.27 / $1,904.11	Facility		$332.00	$846.27	$1,904.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $888.58 / $1,548.67	Professional		$592.39	$888.58	$1,548.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $803.96 / $1,509.37	Professional		$677.02	$803.96	$1,509.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,787.76 / $2,195.73	Facility		$254.50	$1,787.76	$2,195.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $513.70 / $1,057.83 / $2,538.81	Professional		$513.70	$1,057.83	$2,538.81
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $1,311.72	Professional		$355.43	$507.76	$1,311.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $897.05 / $897.05 / $1,096.06	Facility		$897.05	$897.05	$1,096.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $719.33 / $846.27 / $1,160.24	Professional		$719.33	$846.27	$1,160.24