Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $691.76 / $1,239.95	Facility		$435.07	$691.76	$1,239.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.81 / $435.07 / $630.85	Professional		$369.81	$435.07	$630.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $435.07 / $1,131.18	Facility		$435.07	$435.07	$1,131.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $174.03 / $627.37	Professional		$72.47	$174.03	$627.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $261.04 / $435.07 / $435.07	Facility		$261.04	$435.07	$435.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $435.07 / $435.07	Professional		$435.07	$435.07	$435.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.15 / $919.10 / $1,161.50	Facility		$532.15	$919.10	$1,161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.19 / $675.83 / $1,412.34	Professional		$264.19	$675.83	$1,412.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $565.59 / $978.91	Facility		$319.00	$565.59	$978.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $304.55 / $456.82 / $796.18	Professional		$304.55	$456.82	$796.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.06 / $413.32 / $775.97	Professional		$348.06	$413.32	$775.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $919.10 / $1,161.50	Facility		$254.50	$919.10	$1,161.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $532.63 / $1,305.21	Professional		$110.00	$532.63	$1,305.21
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $261.04 / $659.38	Professional		$182.73	$261.04	$659.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $461.17 / $461.17 / $461.17	Facility		$461.17	$461.17	$461.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $369.81 / $435.07 / $512.08	Professional		$369.81	$435.07	$512.08