Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.89 / $825.34 / $1,379.24	Facility		$551.89	$825.34	$1,379.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.89 / $733.62 / $1,086.97	Professional		$551.89	$733.62	$1,086.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.46 / $597.90 / $1,266.66	Professional		$481.46	$597.90	$1,266.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,104.55 / $1,104.55 / $1,104.55	Facility		$1,104.55	$1,104.55	$1,104.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,104.55 / $1,104.55 / $1,104.55	Professional		$1,104.55	$1,104.55	$1,104.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.11 / $876.11 / $876.11	Facility		$876.11	$876.11	$876.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.85 / $924.74 / $2,161.76	Professional		$623.85	$924.74	$2,161.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $518.00 / $1,189.08	Facility		$332.00	$518.00	$1,189.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.48 / $1,028.16 / $1,626.51	Professional		$758.48	$1,028.16	$1,626.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.66 / $720.66 / $823.16	Facility		$720.66	$720.66	$823.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.16 / $955.06 / $1,637.20	Professional		$534.16	$955.06	$1,637.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $876.11 / $876.11 / $876.11	Facility		$876.11	$876.11	$876.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $620.11 / $892.16 / $1,837.85	Professional		$620.11	$892.16	$1,837.85
United Facility/Professional Professional Modifier Low / Median / High Price $553.12 / $730.39 / $1,476.05	Professional		$553.12	$730.39	$1,476.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $318.05 / $823.16 / $1,614.57	Facility		$318.05	$823.16	$1,614.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $594.47 / $955.06 / $1,924.88	Professional		$594.47	$955.06	$1,924.88