Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.50 / $534.92 / $895.44	Facility		$387.50	$534.92	$895.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.50 / $480.66 / $655.29	Professional		$387.50	$480.66	$655.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $482.60 / $482.60 / $482.60	Professional		$482.60	$482.60	$482.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.07 / $421.06 / $871.92	Professional		$339.07	$421.06	$871.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $716.65 / $716.65 / $716.65	Facility		$716.65	$716.65	$716.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $716.65 / $716.65 / $716.65	Professional		$716.65	$716.65	$716.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.86 / $567.86 / $567.86	Facility		$567.86	$567.86	$567.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.19 / $630.71 / $1,417.97	Professional		$423.19	$630.71	$1,417.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $351.00 / $772.55	Facility		$332.00	$351.00	$772.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $669.65 / $1,059.35	Professional		$494.00	$669.65	$1,059.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.21 / $468.21 / $534.41	Facility		$468.21	$468.21	$534.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.97 / $627.40 / $1,062.93	Professional		$384.97	$627.40	$1,062.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $567.86 / $567.86 / $567.86	Facility		$567.86	$567.86	$567.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $423.19 / $612.37 / $1,239.26	Professional		$423.19	$612.37	$1,239.26
United Facility/Professional Professional Modifier Low / Median / High Price $383.34 / $497.24 / $1,006.25	Professional		$383.34	$497.24	$1,006.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $468.21 / $534.41 / $1,098.35	Facility		$468.21	$534.41	$1,098.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $384.97 / $627.40 / $1,247.57	Professional		$384.97	$627.40	$1,247.57