Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.21 / $459.19 / $849.98	Facility		$359.21	$459.19	$849.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.21 / $489.01 / $665.24	Professional		$359.21	$489.01	$665.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,055.16 / $1,076.26 / $2,110.32	Facility		$1,055.16	$1,076.26	$2,110.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $445.00 / $1,540.02	Professional		$445.00	$445.00	$1,540.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $817.57 / $879.11 / $879.11	Facility		$817.57	$879.11	$879.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $879.11 / $879.11 / $879.11	Professional		$879.11	$879.11	$879.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $702.03	Facility		$702.03	$702.03	$702.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $702.03	Professional		$512.48	$512.48	$702.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,055.16 / $2,374.11	Facility		$319.00	$1,055.16	$2,374.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $544.86 / $780.82 / $1,899.29	Professional		$544.86	$780.82	$1,899.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.88 / $640.88 / $640.88	Facility		$640.88	$640.88	$640.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $640.88 / $769.06	Professional		$634.37	$640.88	$769.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $702.03 / $1,055.16	Facility		$597.00	$702.03	$1,055.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $702.03 / $1,566.56	Professional		$512.48	$702.03	$1,566.56
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $534.90 / $965.10	Professional		$350.94	$534.90	$965.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $564.02 / $634.37 / $634.37	Facility		$564.02	$634.37	$634.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $634.37 / $674.02	Professional		$634.37	$634.37	$674.02