Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.69 / $371.59 / $687.83	Facility		$290.69	$371.59	$687.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.69 / $371.59 / $538.33	Professional		$290.69	$371.59	$538.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $853.88 / $870.96 / $1,707.76	Facility		$853.88	$870.96	$1,707.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $375.02 / $1,247.30	Professional		$375.02	$375.02	$1,247.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $661.60 / $711.40 / $711.40	Facility		$661.60	$711.40	$711.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $711.40 / $711.40 / $711.40	Professional		$711.40	$711.40	$711.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $400.16	Facility		$400.16	$400.16	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $292.12 / $400.16	Professional		$292.12	$292.12	$400.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $853.88 / $1,921.23	Facility		$319.00	$853.88	$1,921.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $440.91 / $614.79 / $1,536.98	Professional		$440.91	$614.79	$1,536.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.62 / $365.62 / $365.62	Facility		$365.62	$365.62	$365.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.62 / $513.36 / $612.32	Professional		$365.62	$513.36	$612.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $853.88	Facility		$400.16	$400.16	$853.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $292.12 / $400.16 / $1,164.83	Professional		$292.12	$400.16	$1,164.83
United Facility/Professional Facility Modifier Low / Median / High Price $853.88 / $853.88 / $853.88	Facility		$853.88	$853.88	$853.88
United Facility/Professional Professional Modifier Low / Median / High Price $283.99 / $425.99 / $768.49	Professional		$283.99	$425.99	$768.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $513.36 / $513.36 / $533.48	Facility		$513.36	$513.36	$533.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $365.62 / $513.36 / $545.44	Professional		$365.62	$513.36	$545.44