Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $1,208.40 / $2,166.00	Facility		$532.00	$1,208.40	$2,166.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $499.70 / $646.00	Professional		$402.80	$499.70	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,976.00	Facility		$760.00	$760.00	$1,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $1,095.92	Professional		$200.00	$200.00	$1,095.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Facility		$760.00	$760.00	$760.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $760.00 / $760.00	Professional		$554.79	$760.00	$760.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,605.50 / $2,736.51	Facility		$912.00	$1,605.50	$2,736.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $1,007.27 / $3,663.20	Professional		$608.00	$1,007.27	$3,663.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $912.00 / $1,710.00	Facility		$294.00	$912.00	$1,710.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $1,003.20 / $1,649.20	Professional		$798.00	$1,003.20	$1,649.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $750.60 / $1,378.10	Professional		$646.00	$750.60	$1,378.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,605.50 / $2,736.51	Facility		$597.00	$1,605.50	$2,736.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $828.40 / $1,748.00	Professional		$494.00	$828.40	$1,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,151.83	Professional		$319.20	$456.00	$1,151.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $873.98 / $873.98	Facility		$760.00	$873.98	$873.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $760.00 / $913.46	Professional		$646.00	$760.00	$913.46