Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.58 / $379.13 / $701.79	Facility		$296.58	$379.13	$701.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $379.13 / $549.26	Professional		$296.58	$379.13	$549.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.21 / $888.63 / $1,742.42	Facility		$871.21	$888.63	$1,742.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.93 / $382.93 / $1,272.61	Professional		$382.93	$382.93	$1,272.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $675.03 / $725.84 / $725.84	Facility		$675.03	$725.84	$725.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $725.84 / $725.84 / $725.84	Professional		$725.84	$725.84	$725.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $408.60	Facility		$408.60	$408.60	$408.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $408.60	Professional		$298.27	$298.27	$408.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $871.21 / $1,960.22	Facility		$319.00	$871.21	$1,960.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $449.86 / $627.27 / $1,568.18	Professional		$449.86	$627.27	$1,568.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.75 / $378.75 / $378.75	Facility		$378.75	$378.75	$378.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.75 / $523.76 / $624.74	Professional		$378.75	$523.76	$624.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $871.21	Facility		$408.60	$408.60	$871.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $404.17 / $1,103.44	Professional		$298.27	$404.17	$1,103.44
United Facility/Professional Professional Modifier Low / Median / High Price $289.76 / $434.63 / $796.83	Professional		$289.76	$434.63	$796.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $544.29	Facility		$523.76	$523.76	$544.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $378.75 / $523.76 / $556.49	Professional		$378.75	$523.76	$556.49