Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $4,043.00 / $9,661.00	Facility		$1,335.00	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.38 / $374.19 / $478.31	Professional		$296.38	$374.19	$478.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.68 / $512.19 / $1,018.69	Professional		$425.68	$512.19	$1,018.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $483.81 / $483.81 / $4,050.00	Facility		$483.81	$483.81	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $483.81 / $483.81 / $483.81	Professional		$483.81	$483.81	$483.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.54 / $380.54 / $3,479.91	Facility		$380.54	$380.54	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.12 / $693.56 / $1,594.94	Professional		$269.12	$693.56	$1,594.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $8,650.00 / $8,650.00	Facility		$8,650.00	$8,650.00	$8,650.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $404.00 / $404.00 / $676.43	Professional		$404.00	$404.00	$676.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $427.86 / $643.83	Professional		$270.95	$427.86	$643.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $380.54 / $555.00 / $3,479.91	Facility		$380.54	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.12 / $704.49 / $1,594.94	Professional		$269.12	$704.49	$1,594.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $405.21 / $944.70	Professional		$217.50	$405.21	$944.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $346.33 / $346.33 / $346.33	Facility		$346.33	$346.33	$346.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $294.38 / $443.94 / $681.05	Professional		$294.38	$443.94	$681.05