Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.26 / $498.88 / $923.46	Facility		$390.26	$498.88	$923.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.26 / $533.71 / $722.75	Professional		$390.26	$533.71	$722.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.39 / $1,169.32 / $2,292.78	Facility		$1,146.39	$1,169.32	$2,292.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.78 / $656.78 / $1,817.79	Professional		$656.78	$656.78	$1,817.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $888.25 / $955.11 / $955.11	Facility		$888.25	$955.11	$955.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $955.11 / $955.11 / $955.11	Professional		$955.11	$955.11	$955.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $711.81	Facility		$711.81	$711.81	$711.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $711.81	Professional		$519.62	$519.62	$711.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,146.39 / $2,579.38	Facility		$319.00	$1,146.39	$2,579.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $618.91 / $825.40 / $2,063.50	Professional		$618.91	$825.40	$2,063.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.64 / $773.64 / $773.64	Facility		$773.64	$773.64	$773.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.21 / $732.29 / $928.37	Professional		$689.21	$732.29	$928.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $711.81 / $1,146.39	Facility		$597.00	$711.81	$1,146.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $708.53 / $1,708.12	Professional		$519.62	$708.53	$1,708.12
United Facility/Professional Professional Modifier Low / Median / High Price $381.28 / $621.77 / $1,048.52	Professional		$381.28	$621.77	$1,048.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $612.78 / $689.21 / $689.21	Facility		$612.78	$689.21	$689.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $689.21 / $689.21 / $773.64	Professional		$689.21	$689.21	$773.64