Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.52 / $388.00 / $718.20	Facility		$303.52	$388.00	$718.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $388.00 / $562.10	Professional		$303.52	$388.00	$562.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.57 / $909.40 / $1,783.14	Facility		$891.57	$909.40	$1,783.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.49 / $460.49 / $1,372.26	Professional		$460.49	$460.49	$1,372.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $690.81 / $742.81 / $742.81	Facility		$690.81	$742.81	$742.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $742.81 / $742.81 / $742.81	Professional		$742.81	$742.81	$742.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $626.01	Facility		$626.01	$626.01	$626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $456.99 / $626.01	Professional		$456.99	$456.99	$626.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $891.57 / $2,006.03	Facility		$319.00	$891.57	$2,006.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $460.38 / $641.92 / $1,604.83	Professional		$460.38	$641.92	$1,604.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $505.00	Facility		$505.00	$505.00	$505.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $536.03 / $639.35	Professional		$505.00	$536.03	$639.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $626.01 / $891.57	Facility		$597.00	$626.01	$891.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $531.16 / $1,328.44	Professional		$456.99	$531.16	$1,328.44
United Facility/Professional Professional Modifier Low / Median / High Price $296.52 / $488.75 / $768.47	Professional		$296.52	$488.75	$768.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $536.03 / $536.03 / $557.02	Facility		$536.03	$536.03	$557.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $536.03 / $569.52	Professional		$505.00	$536.03	$569.52