Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.08 / $864.00 / $1,708.00	Facility		$402.08	$864.00	$1,708.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $409.12 / $804.56	Professional		$370.50	$409.12	$804.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.24 / $388.55 / $1,061.86	Professional		$297.24	$388.55	$1,061.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $196.12 / $196.12 / $416.61	Facility		$196.12	$196.12	$416.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $196.12 / $416.61 / $612.74	Professional		$196.12	$416.61	$612.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.21 / $980.65 / $3,351.67	Facility		$529.21	$980.65	$3,351.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.52 / $780.68 / $1,905.66	Professional		$323.52	$780.68	$1,905.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $203.36 / $309.13 / $630.36	Facility		$203.36	$309.13	$630.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.70 / $520.12 / $886.77	Professional		$383.70	$520.12	$886.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $505.00	Facility		$505.00	$505.00	$505.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.28 / $505.00 / $799.83	Professional		$342.28	$505.00	$799.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $430.24 / $980.65 / $1,374.20	Facility		$430.24	$980.65	$1,374.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $631.17 / $1,462.22	Professional		$375.00	$631.17	$1,462.22
United Facility/Professional Professional Modifier Low / Median / High Price $348.97 / $534.84 / $1,150.91	Professional		$348.97	$534.84	$1,150.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.20 / $446.20 / $1,582.49	Facility		$446.20	$446.20	$1,582.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $342.28 / $571.66 / $1,052.35	Professional		$342.28	$571.66	$1,052.35