Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.78 / $468.00 / $840.00	Facility		$135.78	$468.00	$840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $225.00 / $414.00	Professional		$47.67	$225.00	$414.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $780.00	Facility		$300.00	$300.00	$780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $152.12 / $726.24	Professional		$120.00	$152.12	$726.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $300.00 / $300.00	Facility		$180.00	$300.00	$300.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $300.00 / $300.00	Professional		$219.00	$300.00	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.00 / $633.75 / $801.03	Facility		$367.00	$633.75	$801.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $361.35 / $973.10	Professional		$85.02	$361.35	$973.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $300.00 / $675.00	Facility		$56.00	$300.00	$675.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $312.99 / $549.00	Professional		$210.00	$312.99	$549.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $285.00 / $535.07	Professional		$96.55	$285.00	$535.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $633.75 / $801.03	Facility		$254.50	$633.75	$801.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $258.00 / $900.00	Professional		$116.17	$258.00	$900.00
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $300.00	Facility		$270.00	$270.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $126.00 / $454.67	Professional		$67.27	$126.00	$454.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $300.00 / $353.10	Professional		$240.00	$300.00	$353.10