Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.74 / $2,942.87 / $7,839.00	Facility		$450.74	$2,942.87	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.16 / $486.57 / $1,018.64	Professional		$357.16	$486.57	$1,018.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.70 / $459.75 / $1,110.93	Professional		$351.70	$459.75	$1,110.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $504.21 / $1,716.00 / $6,213.00	Facility		$504.21	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $504.21 / $504.21 / $685.64	Professional		$504.21	$504.21	$685.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.17 / $616.17 / $4,612.43	Facility		$616.17	$616.17	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.06 / $694.27 / $1,627.84	Professional		$333.06	$694.27	$1,627.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $568.66 / $960.80	Facility		$319.00	$568.66	$960.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $571.03 / $664.87 / $995.01	Professional		$571.03	$664.87	$995.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.50 / $539.27 / $924.95	Professional		$357.50	$539.27	$924.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $616.17 / $4,612.43	Facility		$555.00	$616.17	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $391.46 / $703.00 / $1,652.13	Professional		$391.46	$703.00	$1,652.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,114.00 / $7,939.00	Facility		$2,264.00	$4,114.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.84 / $590.12 / $1,308.57	Professional		$382.84	$590.12	$1,308.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $401.71 / $401.71 / $1,140.02	Facility		$401.71	$401.71	$1,140.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $357.50 / $619.79 / $1,011.69	Professional		$357.50	$619.79	$1,011.69