Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.45 / $596.75 / $6,802.68	Facility		$529.45	$596.75	$6,802.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.51 / $582.34 / $666.40	Professional		$498.51	$582.34	$666.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $545.85 / $572.82 / $591.12	Professional		$545.85	$572.82	$591.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.93 / $573.19 / $842.80	Professional		$478.93	$573.19	$842.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $787.43 / $787.43 / $787.43	Facility		$787.43	$787.43	$787.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $787.43 / $787.43 / $787.43	Professional		$787.43	$787.43	$787.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.58 / $691.58 / $691.58	Facility		$691.58	$691.58	$691.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.51 / $816.02 / $2,382.89	Professional		$433.51	$816.02	$2,382.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $227.97 / $346.00 / $1,688.06	Facility		$227.97	$346.00	$1,688.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $677.06 / $887.47 / $1,297.93	Professional		$677.06	$887.47	$1,297.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $755.00 / $1,395.88	Professional		$80.19	$755.00	$1,395.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $691.58 / $691.58	Facility		$555.00	$691.58	$691.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $433.51 / $1,937.10	Professional		$364.16	$433.51	$1,937.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,029.44 / $1,212.83 / $1,600.68	Facility		$1,029.44	$1,212.83	$1,600.68
United Facility/Professional Professional Modifier Low / Median / High Price $421.52 / $607.01 / $1,408.27	Professional		$421.52	$607.01	$1,408.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $678.31 / $710.50 / $710.50	Facility		$678.31	$710.50	$710.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $435.10 / $792.07 / $1,544.35	Professional		$435.10	$792.07	$1,544.35