Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.19 / $479.83 / $888.18	Facility		$405.19	$479.83	$888.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.19 / $479.83 / $695.14	Professional		$405.19	$479.83	$695.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,102.59 / $1,124.65 / $2,205.19	Facility		$1,102.59	$1,124.65	$2,205.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.98 / $602.98 / $1,699.41	Professional		$602.98	$602.98	$1,699.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $854.32 / $918.62 / $918.62	Facility		$854.32	$918.62	$918.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $918.62 / $918.62 / $918.62	Professional		$918.62	$918.62	$918.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $765.11	Facility		$765.11	$765.11	$765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $558.53 / $765.11	Professional		$558.53	$558.53	$765.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,102.59 / $2,480.85	Facility		$319.00	$1,102.59	$2,480.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $569.34 / $793.87 / $1,984.68	Professional		$569.34	$793.87	$1,984.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.00 / $619.00 / $619.00	Facility		$619.00	$619.00	$619.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $662.89 / $790.67	Professional		$619.00	$662.89	$790.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $765.11 / $1,102.59	Facility		$597.00	$765.11	$1,102.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $681.46 / $1,642.87	Professional		$558.53	$681.46	$1,642.87
United Facility/Professional Professional Modifier Low / Median / High Price $366.72 / $661.86 / $1,003.96	Professional		$366.72	$661.86	$1,003.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $662.89 / $662.89 / $662.89	Facility		$662.89	$662.89	$662.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $662.89 / $704.32	Professional		$619.00	$662.89	$704.32