Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.30 / $538.55 / $996.90	Facility		$421.30	$538.55	$996.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.30 / $538.55 / $780.23	Professional		$421.30	$538.55	$780.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,237.57 / $1,262.32 / $2,475.14	Facility		$1,237.57	$1,262.32	$2,475.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.00 / $591.00 / $1,807.77	Professional		$591.00	$591.00	$1,807.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $958.90 / $1,031.07 / $1,031.07	Facility		$958.90	$1,031.07	$1,031.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,031.07 / $1,031.07 / $1,031.07	Professional		$1,031.07	$1,031.07	$1,031.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $751.98	Facility		$751.98	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $751.98	Professional		$548.95	$548.95	$751.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,237.57 / $2,784.53	Facility		$319.00	$1,237.57	$2,784.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $639.03 / $891.05 / $2,227.63	Professional		$639.03	$891.05	$2,227.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.15 / $621.15 / $621.15	Facility		$621.15	$621.15	$621.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.15 / $744.02 / $887.45	Professional		$621.15	$744.02	$887.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $751.98 / $1,237.57	Facility		$597.00	$751.98	$1,237.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $737.29 / $1,918.23	Professional		$548.95	$737.29	$1,918.23
United Facility/Professional Facility Modifier Low / Median / High Price $364.62 / $479.78 / $633.41	Facility		$364.62	$479.78	$633.41
United Facility/Professional Professional Modifier Low / Median / High Price $411.60 / $617.41 / $1,113.81	Professional		$411.60	$617.41	$1,113.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $744.02 / $744.02 / $773.17	Facility		$744.02	$744.02	$773.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $621.15 / $744.02 / $790.52	Professional		$621.15	$744.02	$790.52