Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.51 / $527.32 / $976.10	Facility		$412.51	$527.32	$976.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.51 / $527.32 / $763.95	Professional		$412.51	$527.32	$763.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,211.74 / $1,235.97 / $2,423.48	Facility		$1,211.74	$1,235.97	$2,423.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.50 / $553.50 / $1,770.05	Professional		$553.50	$553.50	$1,770.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $938.88 / $1,009.55 / $1,009.55	Facility		$938.88	$1,009.55	$1,009.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,009.55 / $1,009.55 / $1,009.55	Professional		$1,009.55	$1,009.55	$1,009.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $567.88	Facility		$567.88	$567.88	$567.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $567.88	Professional		$414.55	$414.55	$567.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,211.74 / $2,726.42	Facility		$319.00	$1,211.74	$2,726.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $625.70 / $872.45 / $2,181.13	Professional		$625.70	$872.45	$2,181.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.50 / $757.50 / $757.50	Facility		$757.50	$757.50	$757.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.50 / $757.50 / $909.00	Professional		$728.50	$757.50	$909.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $1,211.74	Facility		$567.88	$567.88	$1,211.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $567.88 / $1,878.20	Professional		$414.55	$567.88	$1,878.20
United Facility/Professional Professional Modifier Low / Median / High Price $403.02 / $604.52 / $1,044.43	Professional		$403.02	$604.52	$1,044.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $727.04 / $728.50 / $728.50	Facility		$727.04	$728.50	$728.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $728.50 / $728.50 / $774.03	Professional		$728.50	$728.50	$774.03