Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.63 / $1,662.50 / $2,707.50	Facility		$776.63	$1,662.50	$2,707.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.75 / $517.75 / $807.50	Professional		$517.75	$517.75	$807.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $2,470.00	Facility		$950.00	$950.00	$2,470.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $1,210.97	Professional		$336.26	$336.26	$1,210.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $693.50 / $950.00 / $950.00	Professional		$693.50	$950.00	$950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.83 / $1,924.13 / $2,465.57	Facility		$663.83	$1,924.13	$2,465.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,364.45 / $4,579.00	Professional		$1,091.56	$1,364.45	$4,579.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,235.00 / $2,137.50	Facility		$319.00	$1,235.00	$2,137.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $560.50 / $1,776.50	Professional		$380.00	$560.50	$1,776.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.99 / $902.50 / $1,066.94	Professional		$594.99	$902.50	$1,066.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $663.83 / $2,006.88 / $2,465.57	Facility		$663.83	$2,006.88	$2,465.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $712.50 / $1,957.00	Professional		$617.50	$712.50	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $545.12 / $1,395.29	Professional		$399.00	$545.12	$1,395.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,092.48 / $1,092.48	Facility		$950.00	$1,092.48	$1,092.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $594.99 / $950.00 / $1,141.82	Professional		$594.99	$950.00	$1,141.82