Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.26 / $375.92 / $1,326.00	Facility		$335.26	$375.92	$1,326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.90 / $1,263.59 / $1,326.00	Professional		$388.90	$1,263.59	$1,326.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.14 / $296.14 / $370.18	Facility		$296.14	$296.14	$370.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $1,300.00 / $1,300.00	Professional		$370.18	$1,300.00	$1,300.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $347.88 / $347.88 / $365.27	Facility		$347.88	$347.88	$365.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $347.88 / $347.88 / $347.88	Professional		$347.88	$347.88	$347.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $358.06 / $523.85	Facility		$356.22	$358.06	$523.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.02 / $1,326.00 / $1,326.00	Professional		$608.02	$1,326.00	$1,326.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $356.22 / $785.77	Facility		$319.00	$356.22	$785.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $356.22 / $451.62	Professional		$356.22	$356.22	$451.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $370.18 / $370.18	Facility		$356.22	$370.18	$370.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $356.22 / $370.18	Professional		$356.22	$356.22	$370.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $368.80 / $1,326.00	Facility		$356.22	$368.80	$1,326.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $1,326.00 / $1,326.00	Professional		$71.00	$1,326.00	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,365.00 / $1,751.69	Professional		$1,300.00	$1,365.00	$1,751.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $356.22 / $356.22	Facility		$356.22	$356.22	$356.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $356.22 / $370.18	Professional		$356.22	$356.22	$370.18