Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $280.50 / $297.33	Facility		$280.50	$280.50	$297.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $297.33 / $297.33	Professional		$280.50	$297.33	$297.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $280.50 / $280.50	Professional		$280.50	$280.50	$280.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $247.50	Facility		$225.00	$225.00	$247.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.56 / $267.35 / $1,134.00	Facility		$259.56	$267.35	$1,134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $314.82 / $314.82 / $544.64	Facility		$314.82	$314.82	$544.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $314.82 / $314.82 / $314.82	Professional		$314.82	$314.82	$314.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.08 / $306.08 / $332.31	Professional		$306.08	$306.08	$332.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $259.56 / $267.35 / $597.00	Facility		$259.56	$267.35	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $419.10	Professional		$326.48	$326.48	$419.10
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $349.80 / $460.70	Professional		$300.25	$349.80	$460.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $306.08 / $306.08 / $332.31	Professional		$306.08	$306.08	$332.31