Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.53 / $621.92 / $1,151.24	Facility		$486.53	$621.92	$1,151.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.53 / $636.29 / $901.03	Professional		$486.53	$636.29	$901.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.17 / $1,457.75 / $2,858.34	Facility		$1,429.17	$1,457.75	$2,858.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.54 / $792.54 / $2,214.96	Professional		$792.54	$792.54	$2,214.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,107.34 / $1,190.70 / $1,190.70	Facility		$1,107.34	$1,190.70	$1,190.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,190.70 / $1,190.70 / $1,190.70	Professional		$1,190.70	$1,190.70	$1,190.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $830.86	Facility		$830.86	$830.86	$830.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $606.53 / $830.86	Professional		$606.53	$606.53	$830.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,429.17 / $3,215.63	Facility		$319.00	$1,429.17	$3,215.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $737.96 / $1,071.88 / $2,572.51	Professional		$737.96	$1,071.88	$2,572.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.75 / $782.75 / $782.75	Facility		$782.75	$782.75	$782.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.75 / $859.22 / $1,024.83	Professional		$782.75	$859.22	$1,024.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $830.86 / $1,429.17	Facility		$597.00	$830.86	$1,429.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $1,924.22	Professional		$606.53	$830.86	$1,924.22
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $751.14 / $1,307.15	Professional		$475.33	$751.14	$1,307.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $859.22 / $859.22 / $892.88	Facility		$859.22	$859.22	$892.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $782.75 / $859.22 / $912.91	Professional		$782.75	$859.22	$912.91