Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.04 / $720.06 / $1,332.86	Facility		$608.04	$720.06	$1,332.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $722.95 / $1,043.16	Professional		$608.04	$722.95	$1,043.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,654.62 / $1,687.71 / $3,309.24	Facility		$1,654.62	$1,687.71	$3,309.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.20 / $1,006.20 / $2,681.52	Professional		$1,006.20	$1,006.20	$2,681.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,282.04 / $1,378.54 / $1,378.54	Facility		$1,282.04	$1,378.54	$1,378.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,378.54 / $1,378.54 / $1,378.54	Professional		$1,378.54	$1,378.54	$1,378.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,427.14	Facility		$1,427.14	$1,427.14	$1,427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,427.14	Professional		$1,041.81	$1,041.81	$1,427.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,654.62 / $3,722.90	Facility		$319.00	$1,654.62	$3,722.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $854.39 / $1,224.42 / $2,978.32	Professional		$854.39	$1,224.42	$2,978.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.50 / $1,060.50 / $1,060.50	Facility		$1,060.50	$1,060.50	$1,060.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $994.77 / $1,056.94 / $1,272.59	Professional		$994.77	$1,056.94	$1,272.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,427.14 / $1,654.62	Facility		$597.00	$1,427.14	$1,654.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $985.78 / $1,041.81 / $2,557.50	Professional		$985.78	$1,041.81	$2,557.50
United Facility/Professional Professional Modifier Low / Median / High Price $550.32 / $992.77 / $1,489.16	Professional		$550.32	$992.77	$1,489.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $994.77 / $994.77 / $1,033.75	Facility		$994.77	$994.77	$1,033.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $994.77 / $994.77 / $1,060.50	Professional		$994.77	$994.77	$1,060.50