Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $753.92 / $1,043.42	Facility		$612.00	$753.92	$1,043.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $753.92 / $1,022.96	Professional		$612.00	$753.92	$1,022.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.30 / $739.13 / $1,560.61	Professional		$731.30	$739.13	$1,560.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,037.50 / $1,037.50 / $1,037.50	Facility		$1,037.50	$1,037.50	$1,037.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,037.50 / $1,037.50 / $1,037.50	Professional		$1,037.50	$1,037.50	$1,037.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.82 / $683.74 / $1,185.14	Facility		$663.82	$683.74	$1,185.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,374.23 / $2,374.23 / $2,374.23	Facility		$2,374.23	$2,374.23	$2,374.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $2,064.55 / $2,064.55	Professional		$753.92	$2,064.55	$2,064.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $753.92 / $753.92	Professional		$753.92	$753.92	$753.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $683.74 / $1,185.14	Facility		$597.00	$683.74	$1,185.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $1,197.25	Professional		$886.96	$886.96	$1,197.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $753.92 / $753.92 / $753.92	Facility		$753.92	$753.92	$753.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $753.92 / $753.92	Professional		$753.92	$753.92	$753.92