Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $627.00 / $1,083.00	Facility		$323.00	$627.00	$1,083.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $207.10 / $296.39	Professional		$207.10	$207.10	$296.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $380.00 / $988.00	Facility		$380.00	$380.00	$988.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.39 / $1,246.40 / $2,940.00	Professional		$484.39	$1,246.40	$2,940.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $380.00 / $380.00	Facility		$380.00	$380.00	$380.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $277.39 / $380.00 / $380.00	Professional		$277.39	$380.00	$380.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.91 / $769.51 / $986.04	Facility		$377.91	$769.51	$986.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $554.92 / $1,831.60	Professional		$304.00	$554.92	$1,831.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $494.00 / $855.00	Facility		$294.00	$494.00	$855.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $501.60 / $824.60	Professional		$399.00	$501.60	$824.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $380.00 / $689.05	Professional		$323.00	$380.00	$689.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $377.91 / $927.12 / $986.04	Facility		$377.91	$927.12	$986.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $285.00 / $874.00	Professional		$247.00	$285.00	$874.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $228.00 / $575.91	Professional		$159.60	$228.00	$575.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $436.99 / $436.99	Facility		$380.00	$436.99	$436.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $380.00 / $456.73	Professional		$323.00	$380.00	$456.73