Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.90 / $1,114.07 / $1,114.07	Facility		$735.90	$1,114.07	$1,114.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.20 / $966.70 / $1,349.15	Professional		$592.20	$966.70	$1,349.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.67 / $806.67 / $2,133.90	Professional		$806.67	$806.67	$2,133.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $156.22 / $156.22 / $2,030.86	Facility		$156.22	$156.22	$2,030.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $156.22 / $2,030.86	Professional		$156.22	$156.22	$2,030.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $1,083.41	Facility		$845.38	$845.38	$1,083.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.60 / $1,383.60 / $1,383.60	Professional		$1,383.60	$1,383.60	$1,383.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.75 / $186.73 / $186.73	Professional		$175.75	$186.73	$186.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $845.38 / $1,083.41	Facility		$597.00	$845.38	$1,083.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $117.51 / $852.71	Professional		$44.30	$117.51	$852.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $175.75 / $175.75	Facility		$12.58	$175.75	$175.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $175.75 / $175.75 / $186.73	Professional		$175.75	$175.75	$186.73