Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.30 / $1,572.08 / $2,604.90	Facility		$868.30	$1,572.08	$2,604.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $776.90 / $1,352.72	Professional		$719.07	$776.90	$1,352.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.66 / $846.27 / $2,149.53	Professional		$630.66	$846.27	$2,149.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $548.40 / $914.00 / $914.00	Facility		$548.40	$914.00	$914.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $667.22 / $914.00 / $914.00	Professional		$667.22	$914.00	$914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $638.66 / $1,850.64 / $2,371.41	Facility		$638.66	$1,850.64	$2,371.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.66 / $1,236.92 / $4,405.47	Professional		$550.66	$1,236.92	$4,405.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,188.20 / $2,056.50	Facility		$319.00	$1,188.20	$2,056.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.44 / $731.20 / $1,672.62	Professional		$420.44	$731.20	$1,672.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.50 / $868.30 / $1,630.17	Professional		$604.50	$868.30	$1,630.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,850.64 / $2,371.41	Facility		$254.50	$1,850.64	$2,371.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $940.80 / $2,508.10	Professional		$640.00	$940.80	$2,508.10
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $1,385.24	Professional		$383.88	$548.40	$1,385.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $968.84 / $968.84 / $1,163.32	Facility		$968.84	$968.84	$1,163.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $586.71 / $914.00 / $1,163.32	Professional		$586.71	$914.00	$1,163.32