Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $330.00 / $560.00	Facility		$200.00	$330.00	$560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $428.21 / $428.21	Professional		$170.00	$428.21	$428.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $520.00	Facility		$200.00	$200.00	$520.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $102.00 / $346.29	Professional		$80.00	$102.00	$346.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $200.00 / $200.00	Facility		$120.00	$200.00	$200.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.63 / $422.50 / $533.72	Facility		$244.63	$422.50	$533.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $310.54 / $649.51	Professional		$121.36	$310.54	$649.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $250.00 / $450.00	Facility		$144.50	$250.00	$450.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $210.00 / $374.00	Professional		$140.00	$210.00	$374.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $190.00 / $356.71	Professional		$160.00	$190.00	$356.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $487.82 / $597.00	Facility		$195.00	$487.82	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $350.00 / $645.09	Professional		$130.00	$350.00	$645.09
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $310.00	Professional		$84.00	$120.00	$310.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $212.00 / $212.00	Facility		$17.26	$212.00	$212.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $200.00 / $235.40	Professional		$160.00	$200.00	$235.40