Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.19 / $318.79 / $590.09	Facility		$269.19	$318.79	$590.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.19 / $381.66 / $473.33	Professional		$269.19	$381.66	$473.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $732.55 / $747.20 / $1,465.10	Facility		$732.55	$747.20	$1,465.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.16 / $444.16 / $1,183.68	Professional		$444.16	$444.16	$1,183.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $567.59 / $610.30 / $610.30	Facility		$567.59	$610.30	$610.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $610.30 / $610.30 / $610.30	Professional		$610.30	$610.30	$610.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $456.40	Professional		$333.17	$333.17	$456.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $732.55 / $1,648.24	Facility		$319.00	$732.55	$1,648.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $378.26 / $549.41 / $1,318.59	Professional		$378.26	$549.41	$1,318.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.50 / $454.50 / $454.50	Facility		$454.50	$454.50	$454.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.40 / $454.50 / $545.40	Professional		$440.40	$454.50	$545.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $732.55	Facility		$456.40	$456.40	$732.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $436.42 / $1,091.50	Professional		$333.17	$436.42	$1,091.50
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.64 / $439.53 / $659.30	Professional		$243.64	$439.53	$659.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $440.40 / $440.40 / $457.66	Facility		$440.40	$440.40	$457.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $440.40 / $440.40 / $467.93	Professional		$440.40	$440.40	$467.93