Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.23 / $471.59 / $872.93	Facility		$398.23	$471.59	$872.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $517.46 / $683.21	Professional		$398.23	$517.46	$683.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,083.67 / $1,105.33 / $2,167.34	Facility		$1,083.67	$1,105.33	$2,167.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $659.00 / $1,756.23	Professional		$659.00	$659.00	$1,756.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $839.65 / $902.85 / $902.85	Facility		$839.65	$902.85	$902.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $902.85 / $902.85 / $902.85	Professional		$902.85	$902.85	$902.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $875.29	Facility		$875.29	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $875.29	Professional		$638.96	$638.96	$875.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,083.67 / $2,438.26	Facility		$319.00	$1,083.67	$2,438.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $559.57 / $812.75 / $1,950.61	Professional		$559.57	$812.75	$1,950.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.30 / $536.30 / $536.30	Facility		$536.30	$536.30	$536.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.30 / $651.50 / $777.10	Professional		$536.30	$651.50	$777.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $875.29 / $1,083.67	Facility		$597.00	$875.29	$1,083.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $645.62 / $1,614.67	Professional		$638.96	$645.62	$1,614.67
United Facility/Professional Professional Modifier Low / Median / High Price $360.42 / $650.20 / $960.22	Professional		$360.42	$650.20	$960.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $651.50 / $651.50 / $677.04	Facility		$651.50	$651.50	$677.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $536.30 / $651.50 / $692.22	Professional		$536.30	$651.50	$692.22