Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.65 / $560.74 / $1,037.96	Facility		$438.65	$560.74	$1,037.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.65 / $566.79 / $812.36	Professional		$438.65	$566.79	$812.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.53 / $1,314.30 / $2,577.06	Facility		$1,288.53	$1,314.30	$2,577.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.89 / $694.89 / $1,985.99	Professional		$694.89	$694.89	$1,985.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $998.38 / $1,073.53 / $1,073.53	Facility		$998.38	$1,073.53	$1,073.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,073.53 / $1,073.53 / $1,073.53	Professional		$1,073.53	$1,073.53	$1,073.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $714.02	Facility		$714.02	$714.02	$714.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $521.23 / $714.02	Professional		$521.23	$521.23	$714.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,288.53 / $2,899.19	Facility		$319.00	$1,288.53	$2,899.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $665.35 / $959.94 / $2,319.35	Professional		$665.35	$959.94	$2,319.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.50 / $656.50 / $656.50	Facility		$656.50	$656.50	$656.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.50 / $774.67 / $924.00	Professional		$656.50	$774.67	$924.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $714.02 / $1,288.53	Facility		$597.00	$714.02	$1,288.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $714.02 / $1,919.91	Professional		$521.23	$714.02	$1,919.91
United Facility/Professional Professional Modifier Low / Median / High Price $428.56 / $647.16 / $1,178.53	Professional		$428.56	$647.16	$1,178.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $774.67 / $774.67 / $805.02	Facility		$774.67	$774.67	$805.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $656.50 / $774.67 / $823.08	Professional		$656.50	$774.67	$823.08