Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $1,208.40 / $2,166.00	Facility		$532.00	$1,208.40	$2,166.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $499.70 / $646.00	Professional		$402.80	$499.70	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,778.40	Facility		$760.00	$760.00	$1,778.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $1,025.70	Professional		$304.00	$304.00	$1,025.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Facility		$760.00	$760.00	$760.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $760.00 / $760.00	Professional		$554.79	$760.00	$760.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.82 / $1,539.03 / $1,972.11	Facility		$755.82	$1,539.03	$1,972.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $1,109.33 / $3,663.20	Professional		$608.00	$1,109.33	$3,663.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $912.00 / $1,710.00	Facility		$294.00	$912.00	$1,710.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $1,003.20 / $1,649.20	Professional		$798.00	$1,003.20	$1,649.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $760.00 / $1,378.10	Professional		$646.00	$760.00	$1,378.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $1,854.25 / $1,972.11	Facility		$741.00	$1,854.25	$1,972.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $570.00 / $1,748.00	Professional		$494.00	$570.00	$1,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,151.83	Professional		$319.20	$456.00	$1,151.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $873.98 / $873.98	Facility		$760.00	$873.98	$873.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $760.00 / $913.46	Professional		$646.00	$760.00	$913.46