Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.19 / $580.60 / $1,074.71	Facility		$454.19	$580.60	$1,074.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.61 / $580.60 / $841.13	Professional		$438.61	$580.60	$841.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,334.16 / $1,360.84 / $2,668.32	Facility		$1,334.16	$1,360.84	$2,668.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.41 / $604.41 / $1,948.87	Professional		$604.41	$604.41	$1,948.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,033.73 / $1,111.54 / $1,111.54	Facility		$1,033.73	$1,111.54	$1,111.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,111.54 / $1,111.54 / $1,111.54	Professional		$1,111.54	$1,111.54	$1,111.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $627.26	Facility		$627.26	$627.26	$627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $627.26	Professional		$457.90	$457.90	$627.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,334.16 / $3,001.86	Facility		$319.00	$1,334.16	$3,001.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $742.85 / $984.75 / $2,401.48	Professional		$742.85	$984.75	$2,401.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $984.75 / $984.75 / $984.75	Facility		$984.75	$984.75	$984.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.10 / $852.23 / $1,111.54	Professional		$802.10	$852.23	$1,111.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $627.26 / $1,334.16	Facility		$597.00	$627.26	$1,334.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $627.26 / $2,067.94	Professional		$457.90	$627.26	$2,067.94
United Facility/Professional Facility Modifier Low / Median / High Price $377.20 / $496.34 / $567.91	Facility		$377.20	$496.34	$567.91
United Facility/Professional Professional Modifier Low / Median / High Price $443.73 / $665.59 / $1,220.25	Professional		$443.73	$665.59	$1,220.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $802.10 / $802.10 / $833.53	Facility		$802.10	$802.10	$833.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $802.10 / $802.10 / $984.75	Professional		$802.10	$802.10	$984.75