Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.20 / $583.16 / $1,079.47	Facility		$456.20	$583.16	$1,079.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.20 / $714.70 / $868.42	Professional		$456.20	$714.70	$868.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,340.06 / $1,366.86 / $2,680.12	Facility		$1,340.06	$1,366.86	$2,680.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.84 / $804.84 / $2,144.89	Professional		$804.84	$804.84	$2,144.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,038.32 / $1,116.47 / $1,116.47	Facility		$1,038.32	$1,116.47	$1,116.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,116.47 / $1,116.47 / $1,116.47	Professional		$1,116.47	$1,116.47	$1,116.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $837.35	Facility		$837.35	$837.35	$837.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $611.27 / $837.35	Professional		$611.27	$611.27	$837.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,340.06 / $3,015.14	Facility		$319.00	$1,340.06	$3,015.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.96 / $1,005.05 / $2,412.11	Professional		$691.96	$1,005.05	$2,412.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.50 / $858.50 / $858.50	Facility		$858.50	$858.50	$858.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.65 / $856.00 / $1,030.20	Professional		$805.65	$856.00	$1,030.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $837.35 / $1,340.06	Facility		$597.00	$837.35	$1,340.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $798.36 / $1,942.03	Professional		$611.27	$798.36	$1,942.03
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $662.58 / $662.58	Facility		$1.07	$662.58	$662.58
United Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $742.83 / $1,225.66	Professional		$445.70	$742.83	$1,225.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $805.65 / $805.65 / $837.22	Facility		$805.65	$805.65	$837.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $805.65 / $805.65 / $858.50	Professional		$805.65	$805.65	$858.50