Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.26 / $5,796.00 / $10,686.00	Facility		$395.26	$5,796.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $364.34 / $490.67	Professional		$250.80	$364.34	$490.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $530.95 / $530.95 / $530.95	Facility		$530.95	$530.95	$530.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $530.95 / $530.95 / $530.95	Professional		$530.95	$530.95	$530.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.90 / $419.90 / $419.90	Facility		$419.90	$419.90	$419.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $325.56	Professional		$325.56	$325.56	$325.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $445.20 / $923.29	Facility		$319.00	$445.20	$923.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $419.51 / $541.24 / $791.98	Professional		$419.51	$541.24	$791.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.46 / $342.46 / $342.46	Facility		$342.46	$342.46	$342.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.76 / $493.22 / $777.63	Professional		$299.76	$493.22	$777.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $419.90 / $555.00 / $597.00	Facility		$419.90	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $850.93	Professional		$325.56	$325.56	$850.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.90 / $428.08 / $890.12	Professional		$327.90	$428.08	$890.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $395.70 / $395.70 / $395.70	Facility		$395.70	$395.70	$395.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $395.70 / $777.63	Professional		$324.45	$395.70	$777.63