Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $1,144.80 / $2,052.00	Facility		$504.00	$1,144.80	$2,052.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $432.00 / $612.00	Professional		$381.60	$432.00	$612.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $1,872.00	Facility		$720.00	$720.00	$1,872.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $864.00	Professional		$228.90	$228.90	$864.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Facility		$720.00	$720.00	$720.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $525.60 / $720.00 / $720.00	Professional		$525.60	$720.00	$720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.04 / $1,457.76 / $1,867.97	Facility		$716.04	$1,457.76	$1,867.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $1,050.58 / $3,470.40	Professional		$576.00	$1,050.58	$3,470.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $864.00 / $1,620.00	Facility		$294.00	$864.00	$1,620.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $950.40 / $1,562.40	Professional		$756.00	$950.40	$1,562.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $720.00 / $1,305.57	Professional		$612.00	$720.00	$1,305.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,756.34 / $1,867.97	Facility		$702.00	$1,756.34	$1,867.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $540.00 / $1,656.00	Professional		$468.00	$540.00	$1,656.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $1,091.22	Professional		$302.39	$432.00	$1,091.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $827.98 / $827.98	Facility		$720.00	$827.98	$827.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $720.00 / $865.38	Professional		$612.00	$720.00	$865.38