Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $386.19 / $714.87	Facility		$326.12	$386.19	$714.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.91 / $386.19 / $559.50	Professional		$324.91	$386.19	$559.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $887.45 / $905.20 / $1,774.90	Facility		$887.45	$905.20	$1,774.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.30 / $454.30 / $1,354.75	Professional		$454.30	$454.30	$1,354.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $687.61 / $739.37 / $739.37	Facility		$687.61	$739.37	$739.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $739.37 / $739.37 / $739.37	Professional		$739.37	$739.37	$739.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $530.41	Facility		$530.41	$530.41	$530.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $387.20 / $530.41	Professional		$387.20	$387.20	$530.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $887.45 / $1,996.76	Facility		$319.00	$887.45	$1,996.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $476.72 / $638.96 / $1,597.41	Professional		$476.72	$638.96	$1,597.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.90 / $595.90 / $595.90	Facility		$595.90	$595.90	$595.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.53 / $566.87 / $715.08	Professional		$533.53	$566.87	$715.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $887.45	Facility		$530.41	$530.41	$887.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $528.70 / $1,375.55	Professional		$387.20	$528.70	$1,375.55
United Facility/Professional Professional Modifier Low / Median / High Price $295.16 / $506.81 / $748.80	Professional		$295.16	$506.81	$748.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $533.53 / $533.53 / $554.42	Facility		$533.53	$533.53	$554.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $533.53 / $533.53 / $595.90	Professional		$533.53	$533.53	$595.90