Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $143.66 / $888.00	Facility		$53.61	$143.66	$888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $362.10 / $524.58	Professional		$305.77	$362.10	$524.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.25 / $428.25 / $1,270.22	Professional		$428.25	$428.25	$1,270.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $644.70 / $693.23 / $693.23	Facility		$644.70	$693.23	$693.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $693.23 / $693.23 / $693.23	Professional		$693.23	$693.23	$693.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $502.54 / $502.54	Facility		$502.54	$502.54	$502.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $427.16 / $502.54	Professional		$427.16	$427.16	$502.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $832.06 / $1,872.14	Facility		$319.00	$832.06	$1,872.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $490.92 / $624.04 / $1,516.01	Professional		$490.92	$624.04	$1,516.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.24 / $531.50 / $693.23	Professional		$500.24	$531.50	$693.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $502.54 / $832.06	Facility		$502.54	$502.54	$832.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $502.54 / $1,189.22	Professional		$427.16	$502.54	$1,189.22
United Facility/Professional Professional Modifier Low / Median / High Price $276.74 / $472.56 / $749.16	Professional		$276.74	$472.56	$749.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $500.24 / $500.24 / $519.83	Facility		$500.24	$500.24	$519.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $500.24 / $500.24 / $531.50	Professional		$500.24	$500.24	$531.50