Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.36 / $776.97 / $1,453.76	Facility		$415.36	$776.97	$1,453.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.77 / $415.36 / $749.27	Professional		$362.77	$415.36	$749.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $488.66 / $1,270.52	Facility		$488.66	$488.66	$1,270.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $334.58 / $1,320.25	Professional		$241.31	$334.58	$1,320.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $293.20 / $488.66 / $488.66	Facility		$293.20	$488.66	$488.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $356.72 / $488.66 / $488.66	Professional		$356.72	$488.66	$488.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.61 / $1,191.89 / $5,251.27	Facility		$597.61	$1,191.89	$5,251.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.52 / $790.31 / $1,861.01	Professional		$363.52	$790.31	$1,861.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $670.30 / $1,159.61	Facility		$320.39	$670.30	$1,159.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $342.06 / $509.82 / $913.79	Professional		$342.06	$509.82	$913.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $488.66 / $488.66	Facility		$488.66	$488.66	$488.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.23 / $488.66 / $802.84	Professional		$464.23	$488.66	$802.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,191.89 / $5,834.75	Facility		$254.50	$1,191.89	$5,834.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $392.13 / $787.93 / $1,576.13	Professional		$392.13	$787.93	$1,576.13
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $293.20 / $810.00	Professional		$205.24	$293.20	$810.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $561.95 / $561.95 / $1,799.92	Facility		$561.95	$561.95	$1,799.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $464.23 / $561.95 / $1,298.56	Professional		$464.23	$561.95	$1,298.56