Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.81 / $475.82 / $880.76	Facility		$401.81	$475.82	$880.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $540.12 / $689.34	Professional		$401.81	$540.12	$689.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.39 / $1,115.26 / $2,186.78	Facility		$1,093.39	$1,115.26	$2,186.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.98 / $667.98 / $1,780.16	Professional		$667.98	$667.98	$1,780.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $847.18 / $910.95 / $910.95	Facility		$847.18	$910.95	$910.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $910.95 / $910.95 / $910.95	Professional		$910.95	$910.95	$910.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $719.79	Facility		$719.79	$719.79	$719.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $525.45 / $719.79	Professional		$525.45	$525.45	$719.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,093.39 / $2,460.13	Facility		$319.00	$1,093.39	$2,460.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $618.87 / $820.04 / $1,968.10	Professional		$618.87	$820.04	$1,968.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.59 / $773.59 / $773.59	Facility		$773.59	$773.59	$773.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.35 / $698.44 / $910.95	Professional		$657.35	$698.44	$910.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $719.79 / $1,093.39	Facility		$597.00	$719.79	$1,093.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $651.40 / $1,612.50	Professional		$525.45	$651.40	$1,612.50
United Facility/Professional Professional Modifier Low / Median / High Price $363.65 / $664.31 / $1,000.04	Professional		$363.65	$664.31	$1,000.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $657.35 / $657.35 / $683.10	Facility		$657.35	$657.35	$683.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $657.35 / $657.35 / $773.59	Professional		$657.35	$657.35	$773.59