Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.51 / $308.51 / $571.05	Facility		$260.51	$308.51	$571.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.51 / $344.12 / $452.12	Professional		$260.51	$344.12	$452.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.91 / $723.09 / $1,417.82	Facility		$708.91	$723.09	$1,417.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.10 / $433.10 / $1,154.21	Professional		$433.10	$433.10	$1,154.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $549.29 / $590.63 / $590.63	Facility		$549.29	$590.63	$590.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $590.63 / $590.63 / $590.63	Professional		$590.63	$590.63	$590.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $458.59	Facility		$458.59	$458.59	$458.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $334.77 / $458.59	Professional		$334.77	$334.77	$458.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $708.91 / $1,595.05	Facility		$319.00	$708.91	$1,595.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $531.67 / $1,276.04	Professional		$383.80	$531.67	$1,276.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.75 / $479.75 / $479.75	Facility		$479.75	$479.75	$479.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.20 / $452.83 / $575.70	Professional		$426.20	$452.83	$575.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $708.91	Facility		$458.59	$458.59	$708.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $422.35 / $1,027.50	Professional		$334.77	$422.35	$1,027.50
United Facility/Professional Professional Modifier Low / Median / High Price $235.78 / $421.09 / $611.03	Professional		$235.78	$421.09	$611.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $426.20 / $426.20 / $442.91	Facility		$426.20	$426.20	$442.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $426.20 / $426.20 / $479.75	Professional		$426.20	$426.20	$479.75