Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.83 / $1,096.30 / $4,165.00	Facility		$345.83	$1,096.30	$4,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.05 / $418.55 / $1,039.02	Professional		$292.05	$418.55	$1,039.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.74 / $441.74 / $1,231.68	Professional		$441.74	$441.74	$1,231.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $615.75 / $662.10 / $662.10	Facility		$615.75	$662.10	$662.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $662.10 / $662.10 / $662.10	Professional		$662.10	$662.10	$662.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $451.71	Facility		$451.71	$451.71	$451.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $383.95 / $451.71	Professional		$383.95	$383.95	$451.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $794.71 / $1,788.10	Facility		$319.00	$794.71	$1,788.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $468.88 / $637.26 / $1,447.96	Professional		$468.88	$637.26	$1,447.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.78 / $507.64 / $662.10	Professional		$477.78	$507.64	$662.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $794.71	Facility		$451.71	$451.71	$794.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $451.71 / $1,202.92	Professional		$383.95	$451.71	$1,202.92
United Facility/Professional Professional Modifier Low / Median / High Price $264.31 / $476.83 / $715.52	Professional		$264.31	$476.83	$715.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $477.78 / $477.78 / $496.51	Facility		$477.78	$477.78	$496.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $477.78 / $477.78 / $507.64	Professional		$477.78	$477.78	$507.64