Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,453.26 / $2,559.19	Facility		$914.00	$1,453.26	$2,559.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,060.24 / $2,257.58	Professional		$914.00	$1,060.24	$2,257.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $2,149.53	Professional		$846.27	$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 $1,096.80 / $1,850.64 / $2,371.41	Facility		$1,096.80	$1,850.64	$2,371.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.89 / $1,329.95 / $4,405.47	Professional		$554.89	$1,329.95	$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 $639.79 / $953.58 / $1,672.62	Professional		$639.79	$953.58	$1,672.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $902.70 / $1,657.35	Professional		$776.90	$902.70	$1,657.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,930.83 / $2,371.41	Facility		$254.50	$1,930.83	$2,371.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $579.04 / $1,101.31 / $2,742.00	Professional		$579.04	$1,101.31	$2,742.00
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 / $1,183.79	Facility		$968.84	$968.84	$1,183.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $914.00 / $1,253.11	Professional		$776.90	$914.00	$1,253.11