Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.05 / $445.32 / $824.30	Facility		$376.05	$445.32	$824.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $445.32 / $645.15	Professional		$335.33	$445.32	$645.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.30 / $1,043.77 / $2,046.60	Facility		$1,023.30	$1,043.77	$2,046.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.88 / $468.88 / $1,494.78	Professional		$468.88	$468.88	$1,494.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $792.88 / $852.56 / $852.56	Facility		$792.88	$852.56	$852.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $852.56 / $852.56 / $852.56	Professional		$852.56	$852.56	$852.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $572.20	Facility		$572.20	$572.20	$572.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $417.71 / $572.20	Professional		$417.71	$417.71	$572.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,023.30 / $2,302.42	Facility		$319.00	$1,023.30	$2,302.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $545.40 / $736.78 / $1,841.94	Professional		$545.40	$736.78	$1,841.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.75 / $681.75 / $681.75	Facility		$681.75	$681.75	$681.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.21 / $653.66 / $818.10	Professional		$615.21	$653.66	$818.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $1,023.30	Facility		$572.20	$572.20	$1,023.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $572.20 / $1,281.56	Professional		$417.71	$572.20	$1,281.56
United Facility/Professional Professional Modifier Low / Median / High Price $340.34 / $560.96 / $921.35	Professional		$340.34	$560.96	$921.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $615.21 / $615.21 / $639.32	Facility		$615.21	$615.21	$639.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $615.21 / $615.21 / $681.75	Professional		$615.21	$615.21	$681.75