Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $912.44 / $1,666.96	Facility		$497.17	$912.44	$1,666.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.71 / $474.78 / $896.85	Professional		$382.71	$474.78	$896.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $1,520.74	Facility		$584.90	$584.90	$1,520.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $350.94 / $1,416.92	Professional		$288.83	$350.94	$1,416.92
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 $426.98 / $584.90 / $584.90	Professional		$426.98	$584.90	$584.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.22 / $1,235.61 / $1,561.08	Facility		$715.22	$1,235.61	$1,561.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.03 / $912.40 / $1,972.11	Professional		$398.03	$912.40	$1,972.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $760.37 / $1,316.03	Facility		$319.00	$760.37	$1,316.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $409.43 / $614.15 / $1,093.76	Professional		$409.43	$614.15	$1,093.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $584.90 / $1,060.59	Professional		$497.17	$584.90	$1,060.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,278.21 / $1,561.08	Facility		$254.50	$1,278.21	$1,561.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $394.53 / $712.27 / $1,886.85	Professional		$394.53	$712.27	$1,886.85
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $886.46	Professional		$245.66	$350.94	$886.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $619.99 / $619.99 / $945.47	Facility		$619.99	$619.99	$945.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $619.99 / $1,028.30	Professional		$497.17	$619.99	$1,028.30