Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.32 / $791.42 / $1,464.96	Facility		$668.32	$791.42	$1,464.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.32 / $791.42 / $1,146.55	Professional		$668.32	$791.42	$1,146.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,818.60 / $1,854.97 / $3,637.20	Facility		$1,818.60	$1,854.97	$3,637.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.91 / $901.91 / $2,750.82	Professional		$901.91	$901.91	$2,750.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $606.08 / $1,439.43 / $1,515.16	Facility		$606.08	$1,439.43	$1,515.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $606.08 / $1,439.43 / $1,515.16	Professional		$606.08	$1,439.43	$1,515.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $926.75	Facility		$926.75	$926.75	$926.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $926.75	Professional		$787.74	$787.74	$926.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,818.60 / $4,091.85	Facility		$319.00	$1,818.60	$4,091.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.97 / $1,363.95 / $3,313.49	Professional		$1,072.97	$1,363.95	$3,313.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.36 / $1,161.71 / $1,515.16	Professional		$1,093.36	$1,161.71	$1,515.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $926.75 / $1,818.60	Facility		$597.00	$926.75	$1,818.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $926.75 / $2,818.83	Professional		$787.74	$926.75	$2,818.83
United Facility/Professional Professional Modifier Low / Median / High Price $604.86 / $1,061.50 / $1,663.35	Professional		$604.86	$1,061.50	$1,663.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $972.13 / $1,093.36 / $1,093.36	Facility		$972.13	$1,093.36	$1,093.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,093.36 / $1,093.36 / $1,161.71	Professional		$1,093.36	$1,093.36	$1,161.71