Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.73 / $1,044.81 / $1,802.84	Facility		$697.73	$1,044.81	$1,802.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.73 / $951.27 / $1,389.39	Professional		$697.73	$951.27	$1,389.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.78 / $756.01 / $1,574.66	Professional		$608.78	$756.01	$1,574.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,106.75 / $1,106.75 / $1,106.75	Facility		$1,106.75	$1,106.75	$1,106.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,106.75 / $1,106.75 / $1,106.75	Professional		$1,106.75	$1,106.75	$1,106.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,147.68 / $1,147.68	Facility		$1,147.68	$1,147.68	$1,147.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.14 / $1,172.96 / $2,536.05	Professional		$789.14	$1,172.96	$2,536.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $600.00 / $1,551.02	Facility		$332.00	$600.00	$1,551.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $974.79 / $1,338.41 / $2,117.33	Professional		$974.79	$1,338.41	$2,117.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.01 / $940.01 / $1,075.96	Facility		$940.01	$940.01	$1,075.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.23 / $1,248.38 / $2,140.02	Professional		$698.23	$1,248.38	$2,140.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,147.68 / $1,147.68	Facility		$1,147.68	$1,147.68	$1,147.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $788.12 / $1,109.35 / $2,287.27	Professional		$788.12	$1,109.35	$2,287.27
United Facility/Professional Professional Modifier Low / Median / High Price $683.82 / $905.43 / $1,845.90	Professional		$683.82	$905.43	$1,845.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $402.04 / $1,075.96 / $2,010.82	Facility		$402.04	$1,075.96	$2,010.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $777.16 / $1,256.30 / $2,520.17	Professional		$777.16	$1,256.30	$2,520.17