Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.09 / $687.85 / $1,273.24	Facility		$538.09	$687.85	$1,273.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.09 / $737.72 / $996.50	Professional		$538.09	$737.72	$996.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,580.61 / $1,612.22 / $3,161.22	Facility		$1,580.61	$1,612.22	$3,161.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.97 / $829.97 / $2,436.21	Professional		$829.97	$829.97	$2,436.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,224.69 / $1,316.87 / $1,316.87	Facility		$1,224.69	$1,316.87	$1,316.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,316.87 / $1,316.87 / $1,316.87	Professional		$1,316.87	$1,316.87	$1,316.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $888.38	Facility		$888.38	$888.38	$888.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $648.52 / $888.38	Professional		$648.52	$648.52	$888.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,580.61 / $3,556.37	Facility		$319.00	$1,580.61	$3,556.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $932.56 / $1,198.52 / $2,845.10	Professional		$932.56	$1,198.52	$2,845.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,198.52 / $1,198.52 / $1,198.52	Facility		$1,198.52	$1,198.52	$1,198.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.27 / $1,009.67 / $1,316.87	Professional		$950.27	$1,009.67	$1,316.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $888.38 / $1,580.61	Facility		$597.00	$888.38	$1,580.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $888.38 / $1,990.31	Professional		$648.52	$888.38	$1,990.31
United Facility/Professional Professional Modifier Low / Median / High Price $525.70 / $799.31 / $1,445.66	Professional		$525.70	$799.31	$1,445.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $950.27 / $950.27 / $987.52	Facility		$950.27	$950.27	$987.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $950.27 / $950.27 / $1,198.52	Professional		$950.27	$950.27	$1,198.52