Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.73 / $349.02 / $646.05	Facility		$294.73	$349.02	$646.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.73 / $413.73 / $505.64	Professional		$294.73	$413.73	$505.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.02 / $818.06 / $1,604.04	Facility		$802.02	$818.06	$1,604.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $510.00 / $1,336.60	Professional		$510.00	$510.00	$1,336.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $621.42 / $668.20 / $668.20	Facility		$621.42	$668.20	$668.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $668.20 / $668.20 / $668.20	Professional		$668.20	$668.20	$668.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $528.74	Facility		$528.74	$528.74	$528.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $385.98 / $528.74	Professional		$385.98	$385.98	$528.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $802.02 / $1,804.55	Facility		$319.00	$802.02	$1,804.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $414.13 / $601.52 / $1,443.64	Professional		$414.13	$601.52	$1,443.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.50 / $454.50 / $454.50	Facility		$454.50	$454.50	$454.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.50 / $482.18 / $575.13	Professional		$454.50	$482.18	$575.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $802.02	Facility		$528.74	$528.74	$802.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $495.69 / $1,213.99	Professional		$385.98	$495.69	$1,213.99
United Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $514.74 / $733.56	Professional		$266.75	$514.74	$733.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $428.70 / $482.18 / $482.18	Facility		$428.70	$482.18	$482.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $454.50 / $482.18 / $512.32	Professional		$454.50	$482.18	$512.32