Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $1,510.50 / $2,707.50	Facility		$665.00	$1,510.50	$2,707.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $624.63 / $807.50	Professional		$503.50	$624.63	$807.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $950.00 / $2,223.00	Facility		$55.00	$950.00	$2,223.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $1,755.98	Professional		$380.00	$380.00	$1,755.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $693.50 / $950.00 / $950.00	Professional		$693.50	$950.00	$950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $1,924.13 / $2,465.57	Facility		$1,140.00	$1,924.13	$2,465.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.75 / $1,386.28 / $4,579.00	Professional		$555.75	$1,386.28	$4,579.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,140.00 / $2,137.50	Facility		$319.00	$1,140.00	$2,137.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $997.50 / $1,244.50 / $2,061.50	Professional		$997.50	$1,244.50	$2,061.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $950.00 / $1,722.63	Professional		$807.50	$950.00	$1,722.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $926.25 / $2,318.23 / $2,465.57	Facility		$926.25	$2,318.23	$2,465.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $1,035.50 / $2,187.73	Professional		$617.50	$1,035.50	$2,187.73
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $1,472.50	Professional		$399.00	$570.00	$1,472.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,092.48 / $1,092.48	Facility		$950.00	$1,092.48	$1,092.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $807.50 / $950.00 / $1,141.82	Professional		$807.50	$950.00	$1,141.82