Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.33 / $451.66 / $836.05	Facility		$353.33	$451.66	$836.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.33 / $451.66 / $654.34	Professional		$353.33	$451.66	$654.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,037.89 / $1,058.65 / $2,075.78	Facility		$1,037.89	$1,058.65	$2,075.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.06 / $496.06 / $1,516.10	Professional		$496.06	$496.06	$1,516.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $804.18 / $864.71 / $864.71	Facility		$804.18	$864.71	$864.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $864.71 / $864.71 / $864.71	Professional		$864.71	$864.71	$864.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $579.51	Facility		$579.51	$579.51	$579.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $579.51 / $789.76	Professional		$423.04	$579.51	$789.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,037.89 / $2,335.25	Facility		$319.00	$1,037.89	$2,335.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $600.22 / $753.03 / $1,868.20	Professional		$600.22	$753.03	$1,868.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.27 / $750.27 / $750.27	Facility		$750.27	$750.27	$750.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.98 / $662.98 / $864.71	Professional		$623.98	$662.98	$864.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $1,037.89	Facility		$579.51	$579.51	$1,037.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $641.46 / $1,231.80	Professional		$423.04	$641.46	$1,231.80
United Facility/Professional Professional Modifier Low / Median / High Price $345.19 / $517.79 / $949.28	Professional		$345.19	$517.79	$949.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $623.98 / $623.98 / $776.78	Facility		$623.98	$623.98	$776.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $623.98 / $623.98 / $750.27	Professional		$623.98	$623.98	$750.27