Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.19 / $1,252.43 / $2,163.29	Facility		$645.19	$1,252.43	$2,163.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.27 / $481.40 / $802.33	Professional		$437.27	$481.40	$802.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $1,973.53	Facility		$759.05	$759.05	$1,973.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $459.22 / $1,552.03	Professional		$303.62	$459.22	$1,552.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $759.05 / $759.05	Facility		$455.43	$759.05	$759.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $554.11 / $759.05 / $759.05	Professional		$554.11	$759.05	$759.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $928.17 / $1,536.91 / $2,025.86	Facility		$928.17	$1,536.91	$2,025.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.29 / $933.79 / $2,450.36	Professional		$457.29	$933.79	$2,450.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $986.77 / $1,707.86	Facility		$319.00	$986.77	$1,707.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.16 / $607.24 / $1,389.06	Professional		$349.16	$607.24	$1,389.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.63 / $721.10 / $893.40	Professional		$530.63	$721.10	$893.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,603.49 / $2,025.86	Facility		$254.50	$1,603.49	$2,025.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $484.29 / $872.26 / $2,158.27	Professional		$484.29	$872.26	$2,158.27
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,150.40	Professional		$318.80	$455.43	$1,150.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $804.59 / $804.59 / $1,089.28	Facility		$804.59	$804.59	$1,089.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $515.03 / $759.05 / $893.40	Professional		$515.03	$759.05	$893.40