Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,216.80 / $2,184.00	Facility		$780.00	$1,216.80	$2,184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.00 / $795.00 / $1,131.00	Professional		$663.00	$795.00	$1,131.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $780.00 / $2,028.00	Facility		$780.00	$780.00	$2,028.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $1,144.26	Professional		$312.00	$312.00	$1,144.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $780.00 / $780.00	Facility		$468.00	$780.00	$780.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $329.08 / $780.00 / $780.00	Professional		$329.08	$780.00	$780.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.97 / $1,647.75 / $2,081.75	Facility		$953.97	$1,647.75	$2,081.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.40 / $1,211.29 / $2,531.46	Professional		$473.40	$1,211.29	$2,531.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $400.00 / $1,755.00	Facility		$250.00	$400.00	$1,755.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $819.00 / $1,458.60	Professional		$546.00	$819.00	$1,458.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $741.00 / $1,391.17	Professional		$624.00	$741.00	$1,391.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,647.75 / $2,081.75	Facility		$254.50	$1,647.75	$2,081.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $494.01 / $975.00 / $2,139.75	Professional		$494.01	$975.00	$2,139.75
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $468.00 / $1,170.00	Professional		$327.60	$468.00	$1,170.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $826.80 / $826.80	Facility		$42.66	$826.80	$826.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $780.00 / $918.06	Professional		$624.00	$780.00	$918.06