Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.89 / $486.90 / $901.28	Facility		$380.89	$486.90	$901.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.89 / $486.90 / $705.39	Professional		$380.89	$486.90	$705.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,118.84 / $1,141.23 / $2,237.69	Facility		$1,118.84	$1,141.23	$2,237.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.33 / $505.33 / $1,634.36	Professional		$505.33	$505.33	$1,634.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $866.91 / $932.16 / $932.16	Facility		$866.91	$932.16	$932.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $932.16 / $932.16 / $932.16	Professional		$932.16	$932.16	$932.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $382.77 / $524.34	Professional		$382.77	$382.77	$524.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,118.84 / $2,517.41	Facility		$319.00	$1,118.84	$2,517.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $577.74 / $805.57 / $2,013.93	Professional		$577.74	$805.57	$2,013.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.90 / $696.90 / $696.90	Facility		$696.90	$696.90	$696.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.65 / $696.90 / $836.28	Professional		$672.65	$696.90	$836.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $1,118.84	Facility		$524.34	$524.34	$1,118.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $524.34 / $1,342.97	Professional		$382.77	$524.34	$1,342.97
United Facility/Professional Professional Modifier Low / Median / High Price $372.12 / $558.17 / $964.37	Professional		$372.12	$558.17	$964.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $672.65 / $672.65 / $699.02	Facility		$672.65	$672.65	$699.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $672.65 / $672.65 / $714.69	Professional		$672.65	$672.65	$714.69