Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.04 / $704.00 / $1,154.09	Facility		$577.04	$704.00	$1,154.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $598.91 / $779.02	Professional		$593.00	$598.91	$779.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.40 / $474.40 / $593.00	Facility		$474.40	$474.40	$593.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.91 / $593.00 / $665.13	Professional		$526.91	$593.00	$665.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $482.08 / $482.08 / $482.08	Facility		$482.08	$482.08	$482.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $482.08 / $482.08 / $482.08	Professional		$482.08	$482.08	$482.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.79 / $559.44 / $593.00	Facility		$479.79	$559.44	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $643.35 / $1,258.74	Facility		$319.00	$643.35	$1,258.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $643.35 / $643.35 / $825.74	Professional		$643.35	$643.35	$825.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $593.00 / $615.38	Facility		$593.00	$593.00	$615.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $615.38	Professional		$593.00	$593.00	$615.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $479.79 / $559.44 / $597.00	Facility		$479.79	$559.44	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $593.00 / $838.98	Professional		$27.00	$593.00	$838.98
United Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $830.99	Professional		$593.00	$593.00	$830.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $615.38 / $615.38 / $615.38	Facility		$615.38	$615.38	$615.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $593.00 / $615.38	Professional		$144.56	$593.00	$615.38