Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.98 / $525.36 / $972.47	Facility		$410.98	$525.36	$972.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.98 / $577.10 / $761.11	Professional		$410.98	$577.10	$761.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.24 / $1,231.38 / $2,414.48	Facility		$1,207.24	$1,231.38	$2,414.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.43 / $661.43 / $1,860.68	Professional		$661.43	$661.43	$1,860.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $935.39 / $1,005.80 / $1,005.80	Facility		$935.39	$1,005.80	$1,005.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,005.80 / $1,005.80 / $1,005.80	Professional		$1,005.80	$1,005.80	$1,005.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $756.07	Facility		$756.07	$756.07	$756.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $806.01	Professional		$551.92	$551.92	$806.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,207.24 / $2,716.29	Facility		$319.00	$1,207.24	$2,716.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $651.77 / $893.36 / $2,173.03	Professional		$651.77	$893.36	$2,173.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.71 / $814.71 / $814.71	Facility		$814.71	$814.71	$814.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.80 / $771.16 / $977.65	Professional		$725.80	$771.16	$977.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $756.07 / $1,207.24	Facility		$597.00	$756.07	$1,207.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $756.07 / $1,554.32	Professional		$551.92	$756.07	$1,554.32
United Facility/Professional Professional Modifier Low / Median / High Price $401.52 / $624.73 / $1,104.17	Professional		$401.52	$624.73	$1,104.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $685.64 / $725.80 / $725.80	Facility		$685.64	$725.80	$725.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $725.80 / $725.80 / $814.71	Professional		$725.80	$725.80	$814.71