Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.99 / $598.01 / $1,106.95	Facility		$504.99	$598.01	$1,106.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.99 / $639.89 / $866.35	Professional		$504.99	$639.89	$866.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,374.17 / $1,401.65 / $2,748.34	Facility		$1,374.17	$1,401.65	$2,748.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.51 / $839.51 / $2,237.29	Professional		$839.51	$839.51	$2,237.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,064.74 / $1,144.88 / $1,144.88	Facility		$1,064.74	$1,144.88	$1,144.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,144.88 / $1,144.88 / $1,144.88	Professional		$1,144.88	$1,144.88	$1,144.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Facility		$1,036.33	$1,036.33	$1,036.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,036.33	Professional		$756.53	$756.53	$1,036.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,374.17 / $3,091.88	Facility		$319.00	$1,374.17	$3,091.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $709.58 / $1,030.63 / $2,473.51	Professional		$709.58	$1,030.63	$2,473.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.98 / $603.98 / $603.98	Facility		$603.98	$603.98	$603.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.98 / $826.16 / $985.41	Professional		$603.98	$826.16	$985.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,036.33 / $1,374.17	Facility		$597.00	$1,036.33	$1,374.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $818.69 / $2,047.51	Professional		$756.53	$818.69	$2,047.51
United Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $848.75 / $1,256.85	Professional		$457.04	$848.75	$1,256.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $826.16 / $826.16 / $858.53	Facility		$826.16	$826.16	$858.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $603.98 / $826.16 / $877.79	Professional		$603.98	$826.16	$877.79