Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,544.40 / $2,667.60	Facility		$936.00	$1,544.40	$2,667.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.08 / $1,150.00 / $1,150.00	Professional		$730.08	$1,150.00	$1,150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $936.00 / $2,433.60	Facility		$936.00	$936.00	$2,433.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $618.69 / $2,149.53	Professional		$374.40	$618.69	$2,149.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $936.00 / $936.00	Facility		$561.60	$936.00	$936.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $936.00 / $936.00	Professional		$936.00	$936.00	$936.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.04 / $1,895.16 / $2,428.44	Facility		$654.04	$1,895.16	$2,428.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.92 / $1,327.24 / $4,511.52	Professional		$563.92	$1,327.24	$4,511.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,216.80 / $2,106.00	Facility		$319.00	$1,216.80	$2,106.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $430.56 / $748.80 / $1,712.88	Professional		$430.56	$748.80	$1,712.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.83 / $889.20 / $1,101.67	Professional		$600.83	$889.20	$1,101.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,977.30 / $2,428.44	Facility		$555.00	$1,977.30	$2,428.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $608.40 / $1,055.08 / $2,808.00	Professional		$608.40	$1,055.08	$2,808.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $561.60 / $1,404.00	Professional		$393.12	$561.60	$1,404.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $992.16 / $992.16 / $992.16	Facility		$992.16	$992.16	$992.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $586.22 / $889.20 / $1,101.67	Professional		$586.22	$889.20	$1,101.67