Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.90 / $4,392.00 / $10,296.00	Facility		$407.90	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.72 / $406.91 / $827.86	Professional		$302.72	$406.91	$827.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,059.00 / $4,975.00 / $11,448.00	Facility		$3,059.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.42 / $362.65 / $818.81	Professional		$277.42	$362.65	$818.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $484.70 / $484.70 / $37,499.62	Facility		$484.70	$484.70	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $484.70 / $484.70 / $484.70	Professional		$484.70	$484.70	$484.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.85 / $382.85 / $7,227.90	Facility		$382.85	$382.85	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.89 / $579.91 / $1,158.31	Professional		$314.89	$579.91	$1,158.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $371.00 / $821.95	Facility		$319.00	$371.00	$821.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $365.31 / $451.79 / $676.13	Professional		$365.31	$451.79	$676.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.29 / $362.40 / $621.58	Professional		$288.29	$362.40	$621.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $382.85 / $555.00 / $7,227.90	Facility		$382.85	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $350.54 / $574.34 / $1,157.83	Professional		$350.54	$574.34	$1,157.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $412.83 / $914.55	Professional		$271.02	$412.83	$914.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $362.40 / $362.40 / $1,112.84	Facility		$362.40	$362.40	$1,112.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $301.38 / $416.51 / $788.18	Professional		$301.38	$416.51	$788.18