Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.00 / $936.00 / $1,680.00	Facility		$486.00	$936.00	$1,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.89 / $468.00 / $900.00	Professional		$326.89	$468.00	$900.00
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 / $467.37 / $1,385.70	Professional		$240.00	$467.37	$1,385.70
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 $364.30 / $875.93 / $1,947.37	Professional		$364.30	$875.93	$1,947.37
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 $220.00 / $783.23 / $1,800.00	Professional		$220.00	$783.23	$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 / $636.00	Facility		$636.00	$636.00	$636.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $600.00 / $706.20	Professional		$570.00	$600.00	$706.20