Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $920.00 / $1,229.00	Facility		$178.00	$920.00	$1,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $199.69 / $294.55	Professional		$157.43	$199.69	$294.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $46.07 / $108.04	Professional		$38.25	$46.07	$108.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $293.07 / $293.07 / $293.07	Facility		$293.07	$293.07	$293.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $293.07 / $293.07 / $293.07	Professional		$293.07	$293.07	$293.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.03 / $191.60 / $254.26	Facility		$159.03	$191.60	$254.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $1,064.88 / $1,064.88	Professional		$300.00	$1,064.88	$1,064.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.26 / $345.88 / $479.01	Professional		$198.26	$345.88	$479.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.03 / $193.59 / $341.52	Facility		$159.03	$193.59	$341.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $1,064.88 / $1,064.88	Professional		$300.00	$1,064.88	$1,064.88
United Facility/Professional Professional Modifier Low / Median / High Price $186.82 / $232.41 / $521.58	Professional		$186.82	$232.41	$521.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $210.21 / $217.24 / $217.24	Facility		$210.21	$217.24	$217.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.21 / $217.24 / $457.67	Professional		$210.21	$217.24	$457.67