Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.33 / $716.27 / $1,325.86	Facility		$560.33	$716.27	$1,325.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.33 / $719.15 / $1,037.69	Professional		$560.33	$719.15	$1,037.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,645.94 / $1,678.86 / $3,291.88	Facility		$1,645.94	$1,678.86	$3,291.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.09 / $916.09 / $2,550.94	Professional		$916.09	$916.09	$2,550.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,275.31 / $1,371.30 / $1,371.30	Facility		$1,275.31	$1,371.30	$1,371.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,371.30 / $1,371.30 / $1,371.30	Professional		$1,371.30	$1,371.30	$1,371.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $687.17 / $941.33	Professional		$687.17	$687.17	$941.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,645.94 / $3,703.37	Facility		$319.00	$1,645.94	$3,703.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $971.10 / $1,234.46 / $2,962.69	Professional		$971.10	$1,234.46	$2,962.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $1,278.00 / $1,278.00	Facility		$1,278.00	$1,278.00	$1,278.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $989.54 / $1,051.40 / $1,371.30	Professional		$989.54	$1,051.40	$1,371.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $941.33 / $1,645.94	Facility		$597.00	$941.33	$1,645.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $941.33 / $2,443.59	Professional		$687.17	$941.33	$2,443.59
United Facility/Professional Professional Modifier Low / Median / High Price $547.41 / $821.14 / $1,505.42	Professional		$547.41	$821.14	$1,505.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $989.54 / $989.54 / $1,099.77	Facility		$989.54	$989.54	$1,099.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $989.54 / $989.54 / $1,278.00	Professional		$989.54	$989.54	$1,278.00