Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.36 / $954.00 / $1,710.00	Facility		$246.36	$954.00	$1,710.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $198.14 / $510.00	Professional		$159.72	$198.14	$510.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $600.00 / $1,404.00	Facility		$55.00	$600.00	$1,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $180.36 / $687.60	Professional		$180.36	$180.36	$687.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $438.00 / $600.00 / $600.00	Professional		$438.00	$600.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.71 / $735.58 / $1,267.50	Facility		$368.71	$735.58	$1,267.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $875.93 / $2,892.00	Professional		$241.08	$875.93	$2,892.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $690.00 / $1,350.00	Facility		$319.00	$690.00	$1,350.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $792.00 / $1,302.00	Professional		$630.00	$792.00	$1,302.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.13 / $570.00 / $1,087.98	Professional		$302.13	$570.00	$1,087.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $368.71 / $735.58 / $1,267.50	Facility		$368.71	$735.58	$1,267.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $450.00 / $1,062.96	Professional		$390.00	$450.00	$1,062.96
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $473.07	Professional		$126.57	$180.81	$473.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $689.99 / $689.99	Facility		$600.00	$689.99	$689.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $600.00 / $721.15	Professional		$510.00	$600.00	$721.15