Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $1,008.19 / $1,600.30	Facility		$796.09	$1,008.19	$1,600.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $968.18	Professional		$796.09	$796.09	$968.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.38 / $796.09 / $951.00	Professional		$737.38	$796.09	$951.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $671.08 / $671.08 / $704.63	Facility		$671.08	$671.08	$704.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $671.08 / $671.08 / $671.08	Professional		$671.08	$671.08	$671.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.19 / $751.03 / $806.51	Facility		$712.19	$751.03	$806.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $806.51	Professional		$796.09	$796.09	$806.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $863.69 / $1,689.82	Facility		$319.00	$863.69	$1,689.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $563.27 / $863.69 / $1,005.77	Professional		$563.27	$863.69	$1,005.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $796.09 / $826.13	Facility		$796.09	$796.09	$826.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $826.13	Professional		$796.09	$796.09	$826.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $712.19 / $751.03 / $806.51	Facility		$712.19	$751.03	$806.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $774.75 / $796.09 / $968.44	Professional		$774.75	$796.09	$968.44
United Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $796.09 / $1,168.13	Professional		$318.44	$796.09	$1,168.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $826.13 / $826.13 / $826.13	Facility		$826.13	$826.13	$826.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $826.13 / $826.13	Professional		$796.09	$826.13	$826.13