Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $1,326.00 / $3,838.00	Facility		$240.00	$1,326.00	$3,838.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.55 / $240.00 / $250.00	Professional		$184.55	$240.00	$250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $228.57 / $360.00	Professional		$189.96	$228.57	$360.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.21 / $200.05 / $451.00	Facility		$133.21	$200.05	$451.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $200.05 / $333.26	Professional		$133.21	$200.05	$333.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $6,291.00 / $6,990.00	Facility		$212.14	$6,291.00	$6,990.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $250.00 / $499.53	Facility		$157.94	$250.00	$499.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $281.31 / $402.60	Professional		$207.52	$281.31	$402.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $248.61 / $457.33	Professional		$157.69	$248.61	$457.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $597.00 / $6,990.00	Facility		$212.14	$597.00	$6,990.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $173.90	Professional		$146.27	$146.27	$173.90
United Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $215.45 / $472.97	Professional		$159.72	$215.45	$472.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.17 / $208.17 / $208.17	Facility		$208.17	$208.17	$208.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $170.69 / $227.88 / $457.33	Professional		$170.69	$227.88	$457.33