Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.76 / $372.75 / $689.97	Facility		$314.76	$372.75	$689.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.76 / $377.86 / $540.00	Professional		$314.76	$377.86	$540.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.52 / $873.65 / $1,713.04	Facility		$856.52	$873.65	$1,713.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.72 / $476.72 / $1,327.48	Professional		$476.72	$476.72	$1,327.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $663.66 / $713.61 / $713.61	Facility		$663.66	$713.61	$713.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $713.61 / $713.61 / $713.61	Professional		$713.61	$713.61	$713.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $455.91 / $624.54	Professional		$455.91	$455.91	$624.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $856.52 / $1,927.17	Facility		$319.00	$856.52	$1,927.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $484.80 / $633.82 / $1,541.74	Professional		$484.80	$633.82	$1,541.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.00 / $606.00 / $606.00	Facility		$606.00	$606.00	$606.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.94 / $547.13 / $713.61	Professional		$514.94	$547.13	$713.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $624.54 / $856.52	Facility		$597.00	$624.54	$856.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $529.38 / $1,271.72	Professional		$455.91	$529.38	$1,271.72
United Facility/Professional Professional Modifier Low / Median / High Price $284.88 / $513.91 / $785.26	Professional		$284.88	$513.91	$785.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $457.84 / $514.94 / $514.94	Facility		$457.84	$514.94	$514.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $514.94 / $514.94 / $606.00	Professional		$514.94	$514.94	$606.00