Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $995.45 / $2,109.41	Facility		$771.56	$995.45	$2,109.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.55 / $1,751.34 / $3,611.99	Professional		$771.55	$1,751.34	$3,611.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.25 / $617.25 / $771.56	Facility		$617.25	$617.25	$771.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,931.59	Professional		$771.56	$771.56	$1,931.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $915.75 / $915.75 / $961.54	Facility		$915.75	$915.75	$961.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $915.75 / $915.75 / $915.75	Professional		$915.75	$915.75	$915.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $727.88 / $974.83	Facility		$727.88	$727.88	$974.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $771.56 / $1,637.73	Facility		$319.00	$771.56	$1,637.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,235.32	Professional		$771.56	$771.56	$1,235.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $990.31 / $990.31	Facility		$771.56	$990.31	$990.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $990.31	Professional		$771.56	$771.56	$990.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $727.88 / $974.83	Facility		$727.88	$727.88	$974.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $801.07 / $1,250.31	Professional		$771.56	$801.07	$1,250.31
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,165.40	Professional		$771.56	$771.56	$1,165.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Facility		$771.56	$771.56	$771.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56