Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.04 / $709.40 / $1,313.12	Facility		$599.04	$709.40	$1,313.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.04 / $804.07 / $1,027.72	Professional		$599.04	$804.07	$1,027.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,630.12 / $1,662.72 / $3,260.24	Facility		$1,630.12	$1,662.72	$3,260.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.06 / $979.06 / $2,609.19	Professional		$979.06	$979.06	$2,609.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,263.06 / $1,358.13 / $1,358.13	Facility		$1,263.06	$1,358.13	$1,358.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,358.13 / $1,358.13 / $1,358.13	Professional		$1,358.13	$1,358.13	$1,358.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $1,018.60	Facility		$1,018.60	$1,018.60	$1,018.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $1,018.60	Professional		$743.58	$743.58	$1,018.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,630.12 / $3,667.77	Facility		$319.00	$1,630.12	$3,667.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $922.66 / $1,222.58 / $2,934.22	Professional		$922.66	$1,222.58	$2,934.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.33 / $1,153.33 / $1,153.33	Facility		$1,153.33	$1,153.33	$1,153.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.04 / $1,041.29 / $1,358.13	Professional		$980.04	$1,041.29	$1,358.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,018.60 / $1,630.12	Facility		$597.00	$1,018.60	$1,630.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $999.17 / $2,570.16	Professional		$743.58	$999.17	$2,570.16
United Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $978.07 / $1,490.96	Professional		$542.16	$978.07	$1,490.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $980.04 / $980.04 / $1,018.44	Facility		$980.04	$980.04	$1,018.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $980.04 / $980.04 / $1,153.33	Professional		$980.04	$980.04	$1,153.33