Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.70 / $569.75 / $1,054.61	Facility		$445.70	$569.75	$1,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $697.57 / $825.41	Professional		$445.70	$697.57	$825.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,309.22 / $1,335.40 / $2,618.44	Facility		$1,309.22	$1,335.40	$2,618.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.39 / $775.39 / $2,075.98	Professional		$775.39	$775.39	$2,075.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,014.42 / $1,090.77 / $1,090.77	Facility		$1,014.42	$1,090.77	$1,090.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,090.77 / $1,090.77 / $1,090.77	Professional		$1,090.77	$1,090.77	$1,090.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,057.34	Professional		$771.87	$771.87	$1,057.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,309.22 / $2,945.75	Facility		$319.00	$1,309.22	$2,945.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.04 / $981.92 / $2,356.60	Professional		$676.04	$981.92	$2,356.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.50 / $757.50 / $757.50	Facility		$757.50	$757.50	$757.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.50 / $787.10 / $938.84	Professional		$757.50	$787.10	$938.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,057.34 / $1,309.22	Facility		$597.00	$1,057.34	$1,309.22
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $779.98 / $1,950.74	Professional		$771.87	$779.98	$1,950.74
United Facility/Professional Professional Modifier Low / Median / High Price $435.44 / $701.27 / $1,309.22	Professional		$435.44	$701.27	$1,309.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $787.10 / $787.10 / $817.94	Facility		$787.10	$787.10	$817.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $757.50 / $787.10 / $836.30	Professional		$757.50	$787.10	$836.30