Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $1,188.00 / $2,052.00	Facility		$552.54	$1,188.00	$2,052.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $292.60 / $612.00	Professional		$292.60	$292.60	$612.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $55.00 / $64.00	Facility		$49.00	$55.00	$64.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $1,000.80	Professional		$228.90	$228.90	$1,000.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Facility		$720.00	$720.00	$720.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $525.60 / $720.00 / $720.00	Professional		$525.60	$720.00	$720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $1,521.00 / $2,592.12	Facility		$864.00	$1,521.00	$2,592.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $1,050.58 / $3,470.40	Professional		$421.20	$1,050.58	$3,470.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $720.00 / $1,620.00	Facility		$319.00	$720.00	$1,620.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $943.20 / $1,562.40	Professional		$756.00	$943.20	$1,562.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $711.10 / $1,305.57	Professional		$612.00	$711.10	$1,305.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,521.00 / $2,592.12	Facility		$597.00	$1,521.00	$2,592.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $784.80 / $1,656.00	Professional		$468.00	$784.80	$1,656.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $1,116.00	Professional		$302.39	$432.00	$1,116.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $827.98 / $827.98	Facility		$720.00	$827.98	$827.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $720.00 / $865.38	Professional		$612.00	$720.00	$865.38