Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,192.50 / $2,137.50	Facility		$525.00	$1,192.50	$2,137.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $493.13 / $637.50	Professional		$397.50	$493.13	$637.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $1,012.20	Professional		$336.26	$336.26	$1,012.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $547.50 / $750.00 / $750.00	Professional		$547.50	$750.00	$750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,584.38 / $1,945.83	Facility		$900.00	$1,584.38	$1,945.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.65 / $3,615.00 / $3,615.00	Professional		$913.65	$3,615.00	$3,615.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $900.00 / $1,687.50	Facility		$294.00	$900.00	$1,687.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $787.50 / $990.00 / $1,627.50	Professional		$787.50	$990.00	$1,627.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $750.00 / $1,359.97	Professional		$637.50	$750.00	$1,359.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $687.38 / $1,829.55 / $1,945.83	Facility		$687.38	$1,829.55	$1,945.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $817.50 / $1,725.00	Professional		$487.50	$817.50	$1,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $1,136.69	Professional		$315.00	$450.00	$1,136.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $862.48 / $862.48	Facility		$750.00	$862.48	$862.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $750.00 / $901.44	Professional		$637.50	$750.00	$901.44