Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $633.80 / $1,039.04	Facility		$508.96	$633.80	$1,039.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $701.35	Professional		$508.96	$508.96	$701.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.17 / $407.17 / $508.96	Facility		$407.17	$407.17	$508.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.06 / $508.96 / $666.02	Professional		$481.06	$508.96	$666.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $444.10 / $444.10 / $466.31	Facility		$444.10	$444.10	$466.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $444.10 / $444.10 / $444.10	Professional		$444.10	$444.10	$444.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.15 / $480.15 / $508.96	Facility		$471.15	$480.15	$508.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $552.17 / $1,080.33	Facility		$319.00	$552.17	$1,080.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $552.17 / $552.17 / $657.81	Professional		$552.17	$552.17	$657.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $508.96 / $528.16	Facility		$508.96	$508.96	$528.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $528.16	Professional		$508.96	$508.96	$528.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $471.15 / $480.15 / $562.89	Facility		$471.15	$480.15	$562.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $491.65 / $508.96 / $687.20	Professional		$491.65	$508.96	$687.20
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $687.01	Professional		$508.96	$508.96	$687.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $528.16 / $528.16 / $528.16	Facility		$528.16	$528.16	$528.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.46 / $508.96 / $528.16	Professional		$158.46	$508.96	$528.16