Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.88 / $1,005.44 / $1,005.44	Facility		$680.88	$1,005.44	$1,005.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $896.80 / $1,248.28	Professional		$100.00	$896.80	$1,248.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $700.20 / $1,601.24	Professional		$700.20	$700.20	$1,601.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $143.69 / $1,867.97	Facility		$143.69	$143.69	$1,867.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $143.69 / $1,867.97	Professional		$143.69	$143.69	$1,867.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $1,017.80	Facility		$64.00	$64.00	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $138.65 / $138.65	Professional		$82.00	$138.65	$138.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.65 / $138.65 / $138.65	Facility		$138.65	$138.65	$138.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $162.61 / $172.78	Professional		$138.65	$162.61	$172.78
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $99.83 / $99.83	Professional		$99.83	$99.83	$99.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $597.00 / $1,017.80	Facility		$64.00	$597.00	$1,017.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $86.42 / $635.79	Professional		$40.98	$86.42	$635.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $162.61 / $162.61	Facility		$141.25	$162.61	$162.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $162.61 / $172.78	Professional		$138.65	$162.61	$172.78