Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.46 / $668.44 / $1,237.32	Facility		$564.46	$668.44	$1,237.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.50 / $668.44 / $968.39	Professional		$563.50	$668.44	$968.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,536.01 / $1,566.73 / $3,072.02	Facility		$1,536.01	$1,566.73	$3,072.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.29 / $699.29 / $2,243.73	Professional		$699.29	$699.29	$2,243.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,190.14 / $1,279.72 / $1,279.72	Facility		$1,190.14	$1,279.72	$1,279.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,279.72 / $1,279.72 / $1,279.72	Professional		$1,279.72	$1,279.72	$1,279.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $930.44	Facility		$930.44	$930.44	$930.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $930.44	Professional		$679.22	$679.22	$930.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,536.01 / $3,456.02	Facility		$319.00	$1,536.01	$3,456.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $793.15 / $1,105.93 / $2,764.82	Professional		$793.15	$1,105.93	$2,764.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $959.50 / $959.50 / $959.50	Facility		$959.50	$959.50	$959.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.45 / $959.50 / $1,151.40	Professional		$923.45	$959.50	$1,151.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $930.44 / $1,536.01	Facility		$597.00	$930.44	$1,536.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $915.10 / $2,023.59	Professional		$679.22	$915.10	$2,023.59
United Facility/Professional Professional Modifier Low / Median / High Price $510.87 / $825.41 / $1,296.05	Professional		$510.87	$825.41	$1,296.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $923.45 / $923.45 / $959.64	Facility		$923.45	$923.45	$959.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $923.45 / $923.45 / $981.17	Professional		$923.45	$923.45	$981.17