Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.61 / $531.25 / $983.36	Facility		$448.61	$531.25	$983.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.61 / $557.16 / $769.63	Professional		$448.61	$557.16	$769.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,220.75 / $1,245.17 / $2,441.50	Facility		$1,220.75	$1,245.17	$2,441.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.97 / $656.97 / $1,881.56	Professional		$656.97	$656.97	$1,881.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $945.87 / $1,017.06 / $1,017.06	Facility		$945.87	$1,017.06	$1,017.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,017.06 / $1,017.06 / $1,017.06	Professional		$1,017.06	$1,017.06	$1,017.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $957.73	Facility		$957.73	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $957.73	Professional		$699.14	$699.14	$957.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,220.75 / $2,746.69	Facility		$319.00	$1,220.75	$2,746.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.36 / $915.56 / $2,197.35	Professional		$630.36	$915.56	$2,197.35
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 $681.75 / $733.92 / $875.39	Professional		$681.75	$733.92	$875.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $957.73 / $1,220.75	Facility		$597.00	$957.73	$1,220.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $727.29 / $1,818.92	Professional		$699.14	$727.29	$1,818.92
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $406.01 / $725.11 / $1,093.83	Professional		$406.01	$725.11	$1,093.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $733.92 / $733.92 / $762.68	Facility		$733.92	$733.92	$762.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $681.75 / $733.92 / $779.78	Professional		$681.75	$733.92	$779.78