Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.95 / $537.57 / $995.07	Facility		$453.95	$537.57	$995.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.95 / $559.51 / $778.80	Professional		$453.95	$559.51	$778.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,235.28 / $1,259.99 / $2,470.56	Facility		$1,235.28	$1,259.99	$2,470.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.17 / $704.17 / $1,950.55	Professional		$704.17	$704.17	$1,950.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $957.13 / $1,029.17 / $1,029.17	Facility		$957.13	$1,029.17	$1,029.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,029.17 / $1,029.17 / $1,029.17	Professional		$1,029.17	$1,029.17	$1,029.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $812.21	Facility		$812.21	$812.21	$812.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $592.91 / $812.21	Professional		$592.91	$592.91	$812.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,235.28 / $2,779.38	Facility		$319.00	$1,235.28	$2,779.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $637.86 / $926.46 / $2,223.50	Professional		$637.86	$926.46	$2,223.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.28 / $787.28 / $787.28	Facility		$787.28	$787.28	$787.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.67 / $787.28 / $944.74	Professional		$742.67	$787.28	$944.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $812.21 / $1,235.28	Facility		$597.00	$812.21	$1,235.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $735.95 / $1,670.16	Professional		$592.91	$735.95	$1,670.16
United Facility/Professional Professional Modifier Low / Median / High Price $410.85 / $705.46 / $1,067.75	Professional		$410.85	$705.46	$1,067.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $742.67 / $742.67 / $771.77	Facility		$742.67	$742.67	$771.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $742.67 / $742.67 / $789.08	Professional		$742.67	$742.67	$789.08