Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.41 / $4,043.00 / $11,609.00	Facility		$559.41	$4,043.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.18 / $441.24 / $912.36	Professional		$355.18	$441.24	$912.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.37 / $456.70 / $922.30	Professional		$349.37	$456.70	$922.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $538.86 / $538.86 / $8,917.50	Facility		$538.86	$538.86	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $538.86 / $538.86 / $538.86	Professional		$538.86	$538.86	$538.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.35 / $435.35 / $6,511.02	Facility		$435.35	$435.35	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.24 / $661.58 / $1,355.57	Professional		$375.24	$661.58	$1,355.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $577.00 / $988.56	Facility		$319.00	$577.00	$988.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $395.42 / $527.23 / $760.09	Professional		$395.42	$527.23	$760.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.38 / $364.42 / $650.74	Professional		$285.38	$364.42	$650.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $435.35 / $597.00 / $74,999.25	Facility		$435.35	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $389.89 / $624.59 / $1,351.31	Professional		$389.89	$624.59	$1,351.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.68 / $502.70 / $1,219.83	Professional		$384.68	$502.70	$1,219.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $477.30 / $477.30 / $874.09	Facility		$477.30	$477.30	$874.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $285.38 / $544.88 / $791.32	Professional		$285.38	$544.88	$791.32