Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.64 / $3,996.00 / $10,296.00	Facility		$384.64	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.52 / $472.68 / $867.70	Professional		$238.52	$472.68	$867.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.10 / $427.34 / $842.18	Professional		$349.10	$427.34	$842.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $628.95 / $628.95 / $8,917.50	Facility		$628.95	$628.95	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $628.95 / $628.95 / $628.95	Professional		$628.95	$628.95	$628.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.78 / $510.78 / $7,227.90	Facility		$510.78	$510.78	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.13 / $596.82 / $1,579.22	Professional		$298.13	$596.82	$1,579.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $471.41 / $1,155.22	Facility		$297.00	$471.41	$1,155.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $513.42 / $605.54 / $906.24	Professional		$513.42	$605.54	$906.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $484.87 / $831.63	Professional		$218.27	$484.87	$831.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $510.78 / $555.00 / $7,227.90	Facility		$510.78	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $345.86 / $631.37 / $1,483.63	Professional		$345.86	$631.37	$1,483.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.27 / $513.42 / $1,182.13	Professional		$330.27	$513.42	$1,182.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $484.87 / $484.87 / $934.05	Facility		$484.87	$484.87	$934.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $557.27 / $945.25	Professional		$218.27	$557.27	$945.25