Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.97 / $678.51 / $1,255.97	Facility		$572.97	$678.51	$1,255.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.97 / $687.85 / $982.99	Professional		$572.97	$687.85	$982.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,559.17 / $1,590.35 / $3,118.34	Facility		$1,559.17	$1,590.35	$3,118.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.83 / $871.83 / $2,421.94	Professional		$871.83	$871.83	$2,421.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,208.08 / $1,299.01 / $1,299.01	Facility		$1,208.08	$1,299.01	$1,299.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,299.01 / $1,299.01 / $1,299.01	Professional		$1,299.01	$1,299.01	$1,299.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $891.71	Professional		$650.95	$650.95	$891.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,559.17 / $3,508.13	Facility		$319.00	$1,559.17	$3,508.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $882.50 / $1,153.79 / $2,806.51	Professional		$882.50	$1,153.79	$2,806.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,103.13 / $1,103.13 / $1,103.13	Facility		$1,103.13	$1,103.13	$1,103.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.25 / $1,045.76 / $1,299.01	Professional		$984.25	$1,045.76	$1,299.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $891.71 / $1,559.17	Facility		$597.00	$891.71	$1,559.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $891.71 / $2,314.69	Professional		$650.95	$891.71	$2,314.69
United Facility/Professional Professional Modifier Low / Median / High Price $518.57 / $906.91 / $1,343.89	Professional		$518.57	$906.91	$1,343.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $984.25 / $984.25 / $984.25	Facility		$984.25	$984.25	$984.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $984.25 / $984.25 / $1,103.13	Professional		$984.25	$984.25	$1,103.13