Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.47 / $380.69 / $704.67	Facility		$321.47	$380.69	$704.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.47 / $459.17 / $551.51	Professional		$321.47	$459.17	$551.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $874.78 / $892.28 / $1,749.56	Facility		$874.78	$892.28	$1,749.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.42 / $534.42 / $1,424.25	Professional		$534.42	$534.42	$1,424.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $677.80 / $728.82 / $728.82	Facility		$677.80	$728.82	$728.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $728.82 / $728.82 / $728.82	Professional		$728.82	$728.82	$728.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $673.11	Facility		$673.11	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $673.11	Professional		$491.37	$491.37	$673.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $874.78 / $1,968.26	Facility		$319.00	$874.78	$1,968.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $451.71 / $656.09 / $1,574.60	Professional		$451.71	$656.09	$1,574.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.80 / $282.80 / $282.80	Facility		$282.80	$282.80	$282.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $525.91 / $627.29	Professional		$282.80	$525.91	$627.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $673.11 / $874.78	Facility		$597.00	$673.11	$874.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $521.16 / $1,303.42	Professional		$491.37	$521.16	$1,303.42
United Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $524.87 / $800.10	Professional		$290.94	$524.87	$800.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $525.91 / $525.91 / $546.53	Facility		$525.91	$525.91	$546.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $525.91 / $558.79	Professional		$282.80	$525.91	$558.79