Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.47 / $393.04 / $727.53	Facility		$307.47	$393.04	$727.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.47 / $394.61 / $569.40	Professional		$307.47	$394.61	$569.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.16 / $921.22 / $1,806.32	Facility		$903.16	$921.22	$1,806.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.69 / $502.69 / $1,399.76	Professional		$502.69	$502.69	$1,399.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $699.79 / $752.46 / $752.46	Facility		$699.79	$752.46	$752.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $752.46 / $752.46 / $752.46	Professional		$752.46	$752.46	$752.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $576.88	Professional		$421.12	$421.12	$576.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $903.16 / $2,032.11	Facility		$319.00	$903.16	$2,032.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $466.36 / $668.34 / $1,625.69	Professional		$466.36	$668.34	$1,625.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.55 / $548.55 / $548.55	Facility		$548.55	$548.55	$548.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $548.55 / $658.27	Professional		$543.00	$548.55	$658.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $903.16	Facility		$576.88	$576.88	$903.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $558.20 / $1,341.09	Professional		$421.12	$558.20	$1,341.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,102.16 / $1,102.16 / $1,102.16	Facility		$1,102.16	$1,102.16	$1,102.16
United Facility/Professional Professional Modifier Low / Median / High Price $300.38 / $467.37 / $826.06	Professional		$300.38	$467.37	$826.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $482.78 / $543.00 / $543.00	Facility		$482.78	$543.00	$543.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $543.00 / $576.92	Professional		$543.00	$543.00	$576.92