Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.02 / $1,903.77 / $3,585.86	Facility		$420.02	$1,903.77	$3,585.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.14 / $373.09 / $782.37	Professional		$328.14	$373.09	$782.37
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 $216.76 / $270.95 / $1,303.95	Professional		$216.76	$270.95	$1,303.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $263.36 / $438.93 / $438.93	Facility		$263.36	$438.93	$438.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $438.93 / $1,560.00	Professional		$438.93	$438.93	$1,560.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.70 / $888.93 / $1,508.52	Facility		$306.70	$888.93	$1,508.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $790.55 / $1,902.92	Professional		$295.95	$790.55	$1,902.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,239.95 / $2,933.89	Facility		$332.00	$1,239.95	$2,933.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $351.14 / $912.77 / $2,386.23	Professional		$351.14	$912.77	$2,386.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.09 / $516.62 / $1,303.95	Professional		$373.09	$516.62	$1,303.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $293.33 / $958.98 / $1,508.52	Facility		$293.33	$958.98	$1,508.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $352.23 / $618.89 / $1,758.12	Professional		$352.23	$618.89	$1,758.12
United Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $331.16 / $814.32	Professional		$184.35	$331.16	$814.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $465.27 / $465.27 / $639.02	Facility		$465.27	$465.27	$639.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $377.10 / $516.62 / $1,238.75	Professional		$377.10	$516.62	$1,238.75