Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.01 / $674.97 / $1,249.39	Facility		$528.01	$674.97	$1,249.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.01 / $677.68 / $977.84	Professional		$528.01	$677.68	$977.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.00 / $1,582.02 / $3,102.00	Facility		$1,551.00	$1,582.02	$3,102.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.30 / $929.30 / $2,476.58	Professional		$929.30	$929.30	$2,476.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,201.76 / $1,292.21 / $1,292.21	Facility		$1,201.76	$1,292.21	$1,292.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,292.21 / $1,292.21 / $1,292.21	Professional		$1,292.21	$1,292.21	$1,292.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,115.23	Professional		$814.12	$814.12	$1,115.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,551.00 / $3,489.75	Facility		$319.00	$1,551.00	$3,489.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $837.37 / $1,147.74 / $2,791.80	Professional		$837.37	$1,147.74	$2,791.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.71 / $1,046.71 / $1,046.71	Facility		$1,046.71	$1,046.71	$1,046.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.47 / $990.76 / $1,256.05	Professional		$932.47	$990.76	$1,256.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,115.23 / $1,551.00	Facility		$597.00	$1,115.23	$1,551.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $958.60 / $2,302.96	Professional		$814.12	$958.60	$2,302.96
United Facility/Professional Professional Modifier Low / Median / High Price $515.85 / $816.00 / $1,551.00	Professional		$515.85	$816.00	$1,551.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $932.47 / $932.47 / $1,123.60	Facility		$932.47	$932.47	$1,123.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $932.47 / $932.47 / $1,046.71	Professional		$932.47	$932.47	$1,046.71