Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $700.00	Facility		$600.00	$600.00	$700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $618.00	Professional		$600.00	$600.00	$618.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,147.50 / $2,375.33	Professional		$1,147.50	$1,147.50	$2,375.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $165.00 / $1,650.00	Facility		$165.00	$165.00	$1,650.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,200.00	Facility		$1,150.00	$1,150.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $977.50	Professional		$839.50	$977.50	$977.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.20 / $1,666.50 / $1,666.50	Professional		$1,333.20	$1,666.50	$1,666.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,666.50 / $1,666.50 / $1,666.50	Facility		$1,666.50	$1,666.50	$1,666.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $1,666.50	Professional		$425.00	$425.00	$1,666.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,150.00 / $1,200.00	Facility		$597.00	$1,150.00	$1,200.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $416.31 / $466.20	Professional		$109.02	$416.31	$466.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $368.82 / $425.00 / $425.00	Facility		$368.82	$425.00	$425.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $1,666.50	Professional		$425.00	$425.00	$1,666.50