Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.83 / $403.61 / $747.11	Facility		$340.83	$403.61	$747.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.83 / $403.61 / $584.73	Professional		$340.83	$403.61	$584.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.46 / $946.01 / $1,854.92	Facility		$927.46	$946.01	$1,854.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.88 / $501.88 / $1,429.48	Professional		$501.88	$501.88	$1,429.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $718.62 / $772.71 / $772.71	Facility		$718.62	$772.71	$772.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $772.71 / $772.71 / $772.71	Professional		$772.71	$772.71	$772.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $695.50	Facility		$695.50	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $695.50	Professional		$507.72	$507.72	$695.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $927.46 / $2,086.79	Facility		$319.00	$927.46	$2,086.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $695.60 / $1,669.43	Professional		$520.00	$695.60	$1,669.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $732.25 / $732.25 / $732.25	Facility		$732.25	$732.25	$732.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.60 / $592.45 / $772.71	Professional		$557.60	$592.45	$772.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $695.50 / $927.46	Facility		$597.00	$695.50	$927.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $552.57 / $1,381.92	Professional		$507.72	$552.57	$1,381.92
United Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $548.98 / $825.31	Professional		$308.47	$548.98	$825.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $557.60 / $557.60 / $579.46	Facility		$557.60	$557.60	$579.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $557.60 / $557.60 / $732.25	Professional		$557.60	$557.60	$732.25