Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.92 / $535.51 / $991.27	Facility		$418.92	$535.51	$991.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.92 / $537.66 / $775.83	Professional		$418.92	$537.66	$775.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.58 / $1,255.19 / $2,461.16	Facility		$1,230.58	$1,255.19	$2,461.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.29 / $737.29 / $1,964.87	Professional		$737.29	$737.29	$1,964.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $953.48 / $1,025.25 / $1,025.25	Facility		$953.48	$1,025.25	$1,025.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,025.25 / $1,025.25 / $1,025.25	Professional		$1,025.25	$1,025.25	$1,025.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $741.89	Professional		$541.58	$541.58	$741.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,230.58 / $2,768.81	Facility		$319.00	$1,230.58	$2,768.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $664.34 / $910.63 / $2,215.04	Professional		$664.34	$910.63	$2,215.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.43 / $830.43 / $830.43	Facility		$830.43	$830.43	$830.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.81 / $786.04 / $996.52	Professional		$739.81	$786.04	$996.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $741.89 / $1,230.58	Facility		$597.00	$741.89	$1,230.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $741.89 / $1,827.19	Professional		$541.58	$741.89	$1,827.19
United Facility/Professional Professional Modifier Low / Median / High Price $409.28 / $647.33 / $1,125.52	Professional		$409.28	$647.33	$1,125.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $698.88 / $739.81 / $739.81	Facility		$698.88	$739.81	$739.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $739.81 / $739.81 / $830.43	Professional		$739.81	$739.81	$830.43