Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.22 / $564.02 / $1,356.97	Facility		$441.22	$564.02	$1,356.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.22 / $564.02 / $817.11	Professional		$441.22	$564.02	$817.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,296.06 / $1,321.98 / $2,592.12	Facility		$1,296.06	$1,321.98	$2,592.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.33 / $604.33 / $1,893.22	Professional		$604.33	$604.33	$1,893.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,004.22 / $1,079.81 / $1,079.81	Facility		$1,004.22	$1,079.81	$1,079.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,079.81 / $1,079.81 / $1,079.81	Professional		$1,079.81	$1,079.81	$1,079.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $620.97	Facility		$620.97	$620.97	$620.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $620.97	Professional		$453.31	$453.31	$620.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,296.06 / $2,916.14	Facility		$319.00	$1,296.06	$2,916.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $728.82 / $972.05 / $2,332.91	Professional		$728.82	$972.05	$2,332.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $911.02 / $911.02 / $911.02	Facility		$911.02	$911.02	$911.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.21 / $827.90 / $1,079.81	Professional		$779.21	$827.90	$1,079.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $620.97 / $1,296.06	Facility		$597.00	$620.97	$1,296.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $620.97 / $1,542.01	Professional		$453.31	$620.97	$1,542.01
United Facility/Professional Professional Modifier Low / Median / High Price $431.06 / $646.59 / $1,166.92	Professional		$431.06	$646.59	$1,166.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $779.21 / $779.21 / $809.73	Facility		$779.21	$779.21	$809.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $779.21 / $779.21 / $911.02	Professional		$779.21	$779.21	$911.02