Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.10 / $1,223.63 / $2,154.82	Facility		$731.10	$1,223.63	$2,154.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $654.14 / $1,770.03	Professional		$222.93	$654.14	$1,770.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.58 / $769.58 / $2,000.91	Facility		$769.58	$769.58	$2,000.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $307.83 / $1,109.73	Professional		$139.83	$307.83	$1,109.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $461.75 / $769.58 / $769.58	Facility		$461.75	$769.58	$769.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $561.79 / $769.58 / $769.58	Professional		$561.79	$769.58	$769.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.27 / $1,625.75 / $2,054.73	Facility		$941.27	$1,625.75	$2,054.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.04 / $1,195.57 / $2,497.58	Professional		$467.04	$1,195.57	$2,497.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,000.45 / $1,731.56	Facility		$319.00	$1,000.45	$1,731.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $538.71 / $802.90 / $1,408.33	Professional		$538.71	$802.90	$1,408.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.14 / $760.06 / $1,395.47	Professional		$654.14	$760.06	$1,395.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,625.75 / $2,054.73	Facility		$254.50	$1,625.75	$2,054.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $487.38 / $961.98 / $2,308.73	Professional		$487.38	$961.98	$2,308.73
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $461.75 / $1,166.35	Professional		$323.22	$461.75	$1,166.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $815.76 / $815.76 / $815.76	Facility		$815.76	$815.76	$815.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $654.14 / $769.58 / $905.79	Professional		$654.14	$769.58	$905.79