Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $318.00 / $570.00	Facility		$162.00	$318.00	$570.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $170.00	Professional		$128.00	$128.00	$170.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $200.00	Professional		$13.28	$13.28	$200.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $200.00 / $200.00	Professional		$146.00	$200.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $422.50 / $518.82	Facility		$240.00	$422.50	$518.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $964.00 / $964.00	Professional		$243.41	$964.00	$964.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $330.00 / $450.00	Facility		$200.00	$330.00	$450.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $264.00 / $434.00	Professional		$210.00	$264.00	$434.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $362.66	Professional		$170.00	$200.00	$362.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $487.82 / $555.00	Facility		$240.00	$487.82	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $218.00 / $460.00	Professional		$130.00	$218.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $353.77	Professional		$84.00	$120.00	$353.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $229.99 / $229.99	Facility		$200.00	$229.99	$229.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $240.38	Professional		$170.00	$200.00	$240.38