Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.66 / $532.49 / $985.67	Facility		$449.66	$532.49	$985.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.66 / $558.46 / $771.44	Professional		$449.66	$558.46	$771.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.61 / $1,248.08 / $2,447.23	Facility		$1,223.61	$1,248.08	$2,447.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.97 / $682.97 / $1,900.73	Professional		$682.97	$682.97	$1,900.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $948.09 / $1,019.45 / $1,019.45	Facility		$948.09	$1,019.45	$1,019.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,019.45 / $1,019.45 / $1,019.45	Professional		$1,019.45	$1,019.45	$1,019.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $702.38	Facility		$702.38	$702.38	$702.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $512.74 / $702.38	Professional		$512.74	$512.74	$702.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,223.61 / $2,753.15	Facility		$319.00	$1,223.61	$2,753.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $631.84 / $917.72 / $2,202.52	Professional		$631.84	$917.72	$2,202.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.00 / $606.00 / $606.00	Facility		$606.00	$606.00	$606.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $735.64 / $877.46	Professional		$606.00	$735.64	$877.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $702.38 / $1,223.61	Facility		$597.00	$702.38	$1,223.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $702.38 / $1,823.19	Professional		$512.74	$702.38	$1,823.19
United Facility/Professional Professional Modifier Low / Median / High Price $406.97 / $741.03 / $1,121.81	Professional		$406.97	$741.03	$1,121.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $735.64 / $735.64 / $764.46	Facility		$735.64	$735.64	$764.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $735.64 / $781.62	Professional		$606.00	$735.64	$781.62