Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.30 / $418.39 / $774.46	Facility		$327.30	$418.39	$774.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.30 / $418.39 / $606.14	Professional		$327.30	$418.39	$606.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $961.43 / $980.66 / $1,922.86	Facility		$961.43	$980.66	$1,922.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.84 / $463.84 / $1,414.71	Professional		$463.84	$463.84	$1,414.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $744.94 / $801.01 / $801.01	Facility		$744.94	$801.01	$801.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $801.01 / $801.01 / $801.01	Professional		$801.01	$801.01	$801.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $450.57	Facility		$450.57	$450.57	$450.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $328.92 / $450.57	Professional		$328.92	$328.92	$450.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $961.43 / $2,163.21	Facility		$319.00	$961.43	$2,163.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $533.59 / $721.07 / $1,730.57	Professional		$533.59	$721.07	$1,730.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.01 / $729.01 / $729.01	Facility		$729.01	$729.01	$729.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.01 / $614.13 / $801.01	Professional		$578.01	$614.13	$801.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $961.43	Facility		$450.57	$450.57	$961.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $441.62 / $1,143.88	Professional		$328.92	$441.62	$1,143.88
United Facility/Professional Professional Modifier Low / Median / High Price $319.76 / $479.65 / $879.35	Professional		$319.76	$479.65	$879.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $578.01 / $578.01 / $600.66	Facility		$578.01	$578.01	$600.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $578.01 / $578.01 / $729.01	Professional		$578.01	$578.01	$729.01