Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.80 / $2,034.16 / $3,585.86	Facility		$555.80	$2,034.16	$3,585.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.23 / $527.53 / $896.85	Professional		$434.23	$527.53	$896.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $3,390.27	Facility		$1,303.95	$1,303.95	$3,390.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $403.58 / $1,891.58	Professional		$288.83	$403.58	$1,891.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $584.90 / $584.90	Facility		$350.94	$584.90	$584.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $1,560.00	Professional		$584.90	$584.90	$1,560.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $1,184.29 / $1,561.08	Facility		$408.71	$1,184.29	$1,561.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.53 / $1,053.67 / $2,343.38	Professional		$394.53	$1,053.67	$2,343.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,695.14 / $2,933.89	Facility		$319.00	$1,695.14	$2,933.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $912.77 / $2,386.23	Professional		$467.92	$912.77	$2,386.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.81 / $688.43 / $1,303.95	Professional		$429.81	$688.43	$1,303.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $390.97 / $1,278.21 / $1,561.08	Facility		$390.97	$1,278.21	$1,561.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $469.37 / $782.99 / $1,984.54	Professional		$469.37	$782.99	$1,984.54
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $525.64 / $1,079.83	Professional		$245.66	$525.64	$1,079.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $619.99 / $619.99	Facility		$31.51	$619.99	$619.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $417.17 / $656.90 / $1,303.95	Professional		$417.17	$656.90	$1,303.95