Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.44 / $4,792.00 / $10,768.00	Facility		$449.44	$4,792.00	$10,768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $369.23 / $727.25	Professional		$265.63	$369.23	$727.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,007.00 / $16,083.00	Facility		$4,583.00	$8,007.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $326.20 / $762.71	Professional		$249.55	$326.20	$762.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $434.46 / $2,644.00 / $12,319.50	Facility		$434.46	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $434.46 / $434.46 / $434.46	Professional		$434.46	$434.46	$434.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $353.00 / $7,289.38	Facility		$353.00	$353.00	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.65 / $572.21 / $1,129.88	Professional		$239.65	$572.21	$1,129.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $382.00 / $802.69	Facility		$319.00	$382.00	$802.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $356.75 / $420.18 / $628.82	Professional		$356.75	$420.18	$628.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.72 / $335.59 / $569.66	Professional		$255.72	$335.59	$569.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $597.00 / $8,498.00	Facility		$353.00	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $316.16 / $555.69 / $1,192.36	Professional		$316.16	$555.69	$1,192.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.13 / $386.00 / $923.07	Professional		$263.13	$386.00	$923.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $335.59 / $335.59 / $1,165.91	Facility		$335.59	$335.59	$1,165.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $385.70 / $729.88	Professional		$285.25	$385.70	$729.88