Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.26 / $414.50 / $767.27	Facility		$324.26	$414.50	$767.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.26 / $414.50 / $600.50	Professional		$324.26	$414.50	$600.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $952.48 / $971.53 / $1,904.96	Facility		$952.48	$971.53	$1,904.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.42 / $488.42 / $1,454.08	Professional		$488.42	$488.42	$1,454.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $738.01 / $793.56 / $793.56	Facility		$738.01	$793.56	$793.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $793.56 / $793.56 / $793.56	Professional		$793.56	$793.56	$793.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $511.34	Facility		$511.34	$511.34	$511.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $373.28 / $511.34	Professional		$373.28	$373.28	$511.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $952.48 / $2,143.08	Facility		$319.00	$952.48	$2,143.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $561.96 / $714.36 / $1,714.46	Professional		$561.96	$714.36	$1,714.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.24 / $722.24 / $722.24	Facility		$722.24	$722.24	$722.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.65 / $608.42 / $793.56	Professional		$572.65	$608.42	$793.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $952.48	Facility		$511.34	$511.34	$952.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $511.34 / $1,408.13	Professional		$373.28	$511.34	$1,408.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $404.62 / $404.62	Facility		$0.65	$404.62	$404.62
United Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $475.19 / $871.18	Professional		$316.79	$475.19	$871.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $572.65 / $572.65 / $595.09	Facility		$572.65	$572.65	$595.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $572.65 / $572.65 / $722.24	Professional		$572.65	$572.65	$722.24