Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.85 / $628.63 / $1,163.63	Facility		$530.85	$628.63	$1,163.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.85 / $683.04 / $910.72	Professional		$530.85	$683.04	$910.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.54 / $1,473.43 / $2,889.08	Facility		$1,444.54	$1,473.43	$2,889.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $878.44 / $878.44 / $2,341.04	Professional		$878.44	$878.44	$2,341.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,119.26 / $1,203.51 / $1,203.51	Facility		$1,119.26	$1,203.51	$1,203.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,203.51 / $1,203.51 / $1,203.51	Professional		$1,203.51	$1,203.51	$1,203.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $902.63	Facility		$902.63	$902.63	$902.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $902.63	Professional		$658.92	$658.92	$902.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,444.54 / $3,250.22	Facility		$319.00	$1,444.54	$3,250.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $745.91 / $1,068.96 / $2,600.17	Professional		$745.91	$1,068.96	$2,600.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.05 / $712.05 / $712.05	Facility		$712.05	$712.05	$712.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.05 / $868.47 / $1,035.86	Professional		$712.05	$868.47	$1,035.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $902.63 / $1,444.54	Facility		$597.00	$902.63	$1,444.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $860.62 / $2,232.75	Professional		$658.92	$860.62	$2,232.75
United Facility/Professional Professional Modifier Low / Median / High Price $480.44 / $866.72 / $1,300.59	Professional		$480.44	$866.72	$1,300.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $868.47 / $868.47 / $902.50	Facility		$868.47	$868.47	$902.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $712.05 / $868.47 / $922.75	Professional		$712.05	$868.47	$922.75