Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.44 / $1,183.04 / $2,123.41	Facility		$720.44	$1,183.04	$2,123.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $644.61 / $1,099.61	Professional		$500.00	$644.61	$1,099.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.36 / $758.36 / $1,971.74	Facility		$758.36	$758.36	$1,971.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.44 / $303.33 / $1,138.53	Professional		$283.44	$303.33	$1,138.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $455.02 / $758.36 / $758.36	Facility		$455.02	$758.36	$758.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $553.60 / $758.36 / $758.36	Professional		$553.60	$758.36	$758.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.31 / $1,602.02 / $2,024.00	Facility		$927.31	$1,602.02	$2,024.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.25 / $1,177.69 / $2,461.37	Professional		$460.25	$1,177.69	$2,461.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $985.87 / $1,706.31	Facility		$319.00	$985.87	$1,706.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $530.85 / $791.20 / $1,387.80	Professional		$530.85	$791.20	$1,387.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.61 / $748.98 / $1,375.13	Professional		$644.61	$748.98	$1,375.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,602.02 / $2,024.00	Facility		$254.50	$1,602.02	$2,024.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $480.29 / $947.95 / $2,275.08	Professional		$480.29	$947.95	$2,275.08
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $455.02 / $1,175.46	Professional		$318.51	$455.02	$1,175.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $803.86 / $803.86	Facility		$16.89	$803.86	$803.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $644.61 / $758.36 / $892.59	Professional		$644.61	$758.36	$892.59