Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.92 / $844.24 / $1,562.73	Facility		$712.92	$844.24	$1,562.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.92 / $847.63 / $1,223.08	Professional		$712.92	$847.63	$1,223.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,939.99 / $1,978.79 / $3,879.98	Facility		$1,939.99	$1,978.79	$3,879.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.19 / $1,185.19 / $3,158.53	Professional		$1,185.19	$1,185.19	$3,158.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,503.15 / $1,616.29 / $1,616.29	Facility		$1,503.15	$1,616.29	$1,616.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,616.29 / $1,616.29 / $1,616.29	Professional		$1,616.29	$1,616.29	$1,616.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,254.96	Facility		$1,254.96	$1,254.96	$1,254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,254.96	Professional		$916.12	$916.12	$1,254.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,939.99 / $4,364.97	Facility		$319.00	$1,939.99	$4,364.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.58 / $1,454.99 / $3,534.66	Professional		$1,144.58	$1,454.99	$3,534.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,166.33 / $1,239.23 / $1,616.29	Professional		$1,166.33	$1,239.23	$1,616.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,254.96 / $1,939.99	Facility		$597.00	$1,254.96	$1,939.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,155.79 / $2,811.09	Professional		$916.12	$1,155.79	$2,811.09
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $645.22 / $1,211.52 / $1,778.56	Professional		$645.22	$1,211.52	$1,778.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,166.33 / $1,166.33 / $1,214.04	Facility		$1,166.33	$1,166.33	$1,214.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,166.33 / $1,166.33 / $1,239.23	Professional		$1,166.33	$1,166.33	$1,239.23