Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.56 / $954.00 / $1,650.00	Facility		$418.56	$954.00	$1,650.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $394.50 / $852.00	Professional		$318.00	$394.50	$852.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $1,560.00	Facility		$600.00	$600.00	$1,560.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $328.80 / $1,290.00	Professional		$240.00	$328.80	$1,290.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $600.00 / $600.00	Facility		$360.00	$600.00	$600.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $438.00 / $600.00 / $600.00	Professional		$438.00	$600.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $1,267.50 / $1,602.07	Facility		$734.00	$1,267.50	$1,602.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.57 / $779.49 / $1,937.75	Professional		$361.57	$779.49	$1,937.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $600.00 / $1,350.00	Facility		$332.00	$600.00	$1,350.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $630.00 / $1,098.00	Professional		$420.00	$630.00	$1,098.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $570.00 / $1,070.13	Professional		$480.00	$570.00	$1,070.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,267.50 / $1,602.07	Facility		$254.50	$1,267.50	$1,602.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $364.30 / $750.00 / $1,800.00	Professional		$364.30	$750.00	$1,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $909.35	Professional		$252.00	$360.00	$909.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $636.00 / $636.00 / $785.57	Facility		$636.00	$636.00	$785.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $600.00 / $854.43	Professional		$510.00	$600.00	$854.43