Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.76 / $1,055.33 / $1,894.20	Facility		$637.76	$1,055.33	$1,894.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.17 / $668.50 / $1,014.75	Professional		$425.17	$668.50	$1,014.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $676.50 / $1,758.90	Facility		$676.50	$676.50	$1,758.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $345.01 / $1,440.95	Professional		$282.81	$345.01	$1,440.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $405.90 / $676.50 / $676.50	Facility		$405.90	$676.50	$676.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $493.85 / $676.50 / $676.50	Professional		$493.85	$676.50	$676.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.42 / $1,429.12 / $1,806.05	Facility		$827.42	$1,429.12	$1,806.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.63 / $1,018.90 / $2,294.32	Professional		$412.63	$1,018.90	$2,294.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $676.50 / $1,522.13	Facility		$332.00	$676.50	$1,522.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.55 / $710.33 / $1,265.06	Professional		$473.55	$710.33	$1,265.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.20 / $642.67 / $1,206.57	Professional		$541.20	$642.67	$1,206.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,429.12 / $1,806.05	Facility		$254.50	$1,429.12	$1,806.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $459.56 / $1,100.42 / $2,101.67	Professional		$459.56	$1,100.42	$2,101.67
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $405.90 / $1,062.00	Professional		$284.13	$405.90	$1,062.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $717.09 / $717.09 / $717.09	Facility		$717.09	$717.09	$717.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.03 / $676.50 / $861.13	Professional		$575.03	$676.50	$861.13