Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $717.78	Facility		$663.63	$663.63	$717.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $690.17	Professional		$663.63	$663.63	$690.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $760.00 / $2,159.39	Professional		$663.63	$760.00	$2,159.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,100.00	Facility		$1,000.00	$1,000.00	$1,100.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.56 / $626.05 / $850.00	Facility		$288.56	$626.05	$850.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $663.63 / $1,408.64	Facility		$319.00	$663.63	$1,408.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $657.36 / $663.63 / $1,140.68	Professional		$657.36	$663.63	$1,140.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $688.67	Facility		$663.63	$663.63	$688.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $688.67 / $688.67	Professional		$663.63	$688.67	$688.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $288.56 / $626.05 / $850.00	Facility		$288.56	$626.05	$850.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $776.91	Professional		$663.63	$663.63	$776.91
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $999.90	Professional		$663.63	$663.63	$999.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $688.67 / $688.67 / $688.67	Facility		$688.67	$688.67	$688.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $688.67 / $688.67	Professional		$663.63	$688.67	$688.67