Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.08 / $549.77 / $1,017.66	Facility		$430.08	$549.77	$1,017.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.08 / $601.65 / $796.48	Professional		$430.08	$601.65	$796.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.33 / $1,288.59 / $2,526.66	Facility		$1,263.33	$1,288.59	$2,526.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.62 / $770.62 / $2,053.69	Professional		$770.62	$770.62	$2,053.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $978.86 / $1,052.54 / $1,052.54	Facility		$978.86	$1,052.54	$1,052.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,052.54 / $1,052.54 / $1,052.54	Professional		$1,052.54	$1,052.54	$1,052.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,014.49	Facility		$1,014.49	$1,014.49	$1,014.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $740.58 / $1,025.05	Professional		$740.58	$740.58	$1,025.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,263.33 / $2,842.49	Facility		$319.00	$1,263.33	$2,842.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $682.06 / $947.50 / $2,273.98	Professional		$682.06	$947.50	$2,273.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.57 / $852.57 / $852.57	Facility		$852.57	$852.57	$852.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.52 / $806.99 / $1,023.08	Professional		$759.52	$806.99	$1,023.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,014.49 / $1,263.33	Facility		$597.00	$1,014.49	$1,263.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $780.80 / $1,882.36	Professional		$740.58	$780.80	$1,882.36
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $728.42 / $1,119.43	Professional		$420.18	$728.42	$1,119.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $675.30 / $759.52 / $759.52	Facility		$675.30	$759.52	$759.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $759.52 / $759.52 / $852.57	Professional		$759.52	$759.52	$852.57