Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.55 / $674.48 / $1,248.49	Facility		$569.55	$674.48	$1,248.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.55 / $683.76 / $977.14	Professional		$569.55	$683.76	$977.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.90 / $1,580.90 / $3,099.80	Facility		$1,549.90	$1,580.90	$3,099.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.08 / $954.08 / $2,542.62	Professional		$954.08	$954.08	$2,542.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,200.89 / $1,291.28 / $1,291.28	Facility		$1,200.89	$1,291.28	$1,291.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,291.28 / $1,291.28 / $1,291.28	Professional		$1,291.28	$1,291.28	$1,291.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.22 / $1,111.22 / $1,111.22	Facility		$1,111.22	$1,111.22	$1,111.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $811.19 / $1,111.22	Professional		$811.19	$811.19	$1,111.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,549.90 / $3,487.28	Facility		$319.00	$1,549.90	$3,487.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $914.44 / $1,162.43 / $2,823.92	Professional		$914.44	$1,162.43	$2,823.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.79 / $990.03 / $1,291.28	Professional		$931.79	$990.03	$1,291.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,111.22 / $1,549.90	Facility		$597.00	$1,111.22	$1,549.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $950.00 / $2,402.35	Professional		$811.19	$950.00	$2,402.35
United Facility/Professional Professional Modifier Low / Median / High Price $515.48 / $935.43 / $1,417.57	Professional		$515.48	$935.43	$1,417.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $828.47 / $931.79 / $931.79	Facility		$828.47	$931.79	$931.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $931.79 / $931.79 / $990.03	Professional		$931.79	$931.79	$990.03