Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $826.80 / $1,482.00	Facility		$520.00	$826.80	$1,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $468.00 / $1,253.20	Professional		$390.00	$468.00	$1,253.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $1,352.00	Facility		$520.00	$520.00	$1,352.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $208.00 / $739.60	Professional		$71.59	$208.00	$739.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $520.00 / $520.00	Facility		$312.00	$520.00	$520.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $379.60 / $520.00 / $520.00	Professional		$379.60	$520.00	$520.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,098.50 / $1,872.47	Facility		$624.00	$1,098.50	$1,872.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.67 / $807.53 / $1,686.86	Professional		$315.67	$807.53	$1,686.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $676.00 / $1,170.00	Facility		$319.00	$676.00	$1,170.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $542.52 / $951.60	Professional		$364.00	$542.52	$951.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.00 / $513.57 / $942.91	Professional		$442.00	$513.57	$942.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $624.00 / $1,872.47	Facility		$13.73	$624.00	$1,872.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $636.75 / $1,560.00	Professional		$160.00	$636.75	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $312.00 / $788.10	Professional		$218.40	$312.00	$788.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $551.20 / $551.20	Facility		$11.28	$551.20	$551.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $442.00 / $520.00 / $612.04	Professional		$442.00	$520.00	$612.04