Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.48 / $670.83 / $1,241.74	Facility		$566.48	$670.83	$1,241.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.48 / $767.07 / $971.85	Professional		$566.48	$767.07	$971.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,541.50 / $1,572.33 / $3,083.00	Facility		$1,541.50	$1,572.33	$3,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.03 / $1,450.68 / $2,720.66	Professional		$1,367.03	$1,450.68	$2,720.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,194.40 / $1,284.30 / $1,284.30	Facility		$1,194.40	$1,284.30	$1,284.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,284.30 / $1,284.30 / $1,284.30	Professional		$1,284.30	$1,284.30	$1,284.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $963.22	Facility		$963.22	$963.22	$963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $963.23	Professional		$703.15	$703.15	$963.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,541.50 / $3,468.38	Facility		$319.00	$1,541.50	$3,468.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $795.98 / $1,156.13 / $2,774.70	Professional		$795.98	$1,156.13	$2,774.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.84 / $639.84 / $639.84	Facility		$639.84	$639.84	$639.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.84 / $926.76 / $1,105.41	Professional		$639.84	$926.76	$1,105.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $963.22 / $1,541.50	Facility		$597.00	$963.22	$1,541.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $918.39 / $2,296.84	Professional		$703.15	$918.39	$2,296.84
United Facility/Professional Professional Modifier Low / Median / High Price $512.69 / $924.90 / $1,413.24	Professional		$512.69	$924.90	$1,413.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $926.76 / $926.76 / $963.08	Facility		$926.76	$926.76	$963.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $639.84 / $926.76 / $984.69	Professional		$639.84	$926.76	$984.69