Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.99 / $634.72 / $1,174.90	Facility		$535.99	$634.72	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.99 / $643.46 / $919.54	Professional		$535.99	$643.46	$919.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.52 / $1,487.69 / $2,917.04	Facility		$1,458.52	$1,487.69	$2,917.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.81 / $811.81 / $2,260.50	Professional		$811.81	$811.81	$2,260.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,130.10 / $1,215.17 / $1,215.17	Facility		$1,130.10	$1,215.17	$1,215.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,215.17 / $1,215.17 / $1,215.17	Professional		$1,215.17	$1,215.17	$1,215.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $967.10	Facility		$967.10	$967.10	$967.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $705.98 / $967.10	Professional		$705.98	$705.98	$967.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,458.52 / $3,281.67	Facility		$319.00	$1,458.52	$3,281.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $825.54 / $1,079.30 / $2,625.34	Professional		$825.54	$1,079.30	$2,625.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,031.93 / $1,031.93 / $1,031.93	Facility		$1,031.93	$1,031.93	$1,031.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.72 / $978.27 / $1,215.17	Professional		$920.72	$978.27	$1,215.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $967.10 / $1,458.52	Facility		$597.00	$967.10	$1,458.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $901.44 / $2,165.63	Professional		$705.98	$901.44	$2,165.63
United Facility/Professional Professional Modifier Low / Median / High Price $485.10 / $875.11 / $1,334.01	Professional		$485.10	$875.11	$1,334.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $920.72 / $920.72 / $920.72	Facility		$920.72	$920.72	$920.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $920.72 / $920.72 / $1,031.93	Professional		$920.72	$920.72	$1,031.93