Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $1,330.00 / $2,166.00	Facility		$621.29	$1,330.00	$2,166.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.20 / $414.20 / $646.00	Professional		$414.20	$414.20	$646.00
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 $304.00 / $304.00 / $968.77	Professional		$304.00	$304.00	$968.77
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 $531.05 / $1,539.03 / $1,972.11	Facility		$531.05	$1,539.03	$1,972.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $1,091.86 / $3,663.20	Professional		$873.50	$1,091.86	$3,663.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $988.00 / $1,710.00	Facility		$319.00	$988.00	$1,710.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $448.40 / $1,421.20	Professional		$304.00	$448.40	$1,421.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.99 / $722.00 / $853.56	Professional		$475.99	$722.00	$853.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,605.50 / $1,972.11	Facility		$597.00	$1,605.50	$1,972.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $570.00 / $1,565.60	Professional		$494.00	$570.00	$1,565.60
United Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $684.00 / $760.00	Facility		$684.00	$684.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $427.51 / $1,102.00	Professional		$319.20	$427.51	$1,102.00
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 $475.99 / $722.00 / $913.46	Professional		$475.99	$722.00	$913.46