Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.36 / $921.34 / $1,651.46	Facility		$469.36	$921.34	$1,651.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $383.66 / $579.46	Professional		$142.53	$383.66	$579.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.46 / $579.46 / $1,506.60	Facility		$579.46	$579.46	$1,506.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.78 / $300.16 / $805.45	Professional		$231.78	$300.16	$805.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $347.68 / $579.46 / $579.46	Facility		$347.68	$579.46	$579.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $423.01 / $579.46 / $579.46	Professional		$423.01	$579.46	$579.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.35 / $1,173.70 / $1,547.11	Facility		$695.35	$1,173.70	$1,547.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.14 / $586.63 / $2,793.00	Professional		$278.14	$586.63	$2,793.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $753.30 / $1,303.79	Facility		$319.00	$753.30	$1,303.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.78 / $344.78 / $1,083.58	Professional		$231.78	$344.78	$1,083.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.92 / $547.45 / $650.79	Professional		$362.92	$547.45	$650.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,224.10 / $1,547.11	Facility		$254.50	$1,224.10	$1,547.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $196.14 / $377.88 / $898.16	Professional		$196.14	$377.88	$898.16
United Facility/Professional Professional Modifier Low / Median / High Price $143.32 / $243.37 / $840.22	Professional		$143.32	$243.37	$840.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $614.23 / $614.23 / $775.65	Facility		$614.23	$614.23	$775.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $362.92 / $550.49 / $682.02	Professional		$362.92	$550.49	$682.02