Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.11 / $444.21 / $822.25	Facility		$375.11	$444.21	$822.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.11 / $480.91 / $643.54	Professional		$375.11	$480.91	$643.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,020.74 / $1,041.15 / $2,041.48	Facility		$1,020.74	$1,041.15	$2,041.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.60 / $623.60 / $1,661.89	Professional		$623.60	$623.60	$1,661.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $790.90 / $850.43 / $850.43	Facility		$790.90	$850.43	$850.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $850.43 / $850.43 / $850.43	Professional		$850.43	$850.43	$850.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $660.31	Facility		$660.31	$660.31	$660.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $482.03 / $660.31	Professional		$482.03	$482.03	$660.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,020.74 / $2,296.67	Facility		$319.00	$1,020.74	$2,296.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $527.08 / $765.56 / $1,837.33	Professional		$527.08	$765.56	$1,837.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.54 / $650.54 / $650.54	Facility		$650.54	$650.54	$650.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $650.54 / $780.65	Professional		$613.66	$650.54	$780.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $660.31 / $1,020.74	Facility		$597.00	$660.31	$1,020.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $608.12 / $1,479.38	Professional		$482.03	$608.12	$1,479.38
United Facility/Professional Professional Modifier Low / Median / High Price $339.49 / $620.16 / $918.67	Professional		$339.49	$620.16	$918.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $613.66 / $613.66 / $637.72	Facility		$613.66	$613.66	$637.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $613.66 / $652.03	Professional		$613.66	$613.66	$652.03