Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.34 / $3,996.00 / $10,296.00	Facility		$451.34	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.30 / $430.72 / $772.16	Professional		$357.30	$430.72	$772.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.54 / $383.42 / $976.17	Professional		$305.54	$383.42	$976.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $506.23 / $506.23 / $37,499.62	Facility		$506.23	$506.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $506.23 / $506.23 / $506.23	Professional		$506.23	$506.23	$506.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.05 / $431.05 / $7,227.90	Facility		$431.05	$431.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.80 / $673.48 / $1,392.11	Professional		$323.80	$673.48	$1,392.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $442.45 / $1,015.88	Facility		$319.00	$442.45	$1,015.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $443.05 / $550.83 / $781.10	Professional		$443.05	$550.83	$781.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.30 / $494.23 / $746.10	Professional		$302.30	$494.23	$746.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $431.05 / $555.00 / $7,227.90	Facility		$431.05	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $333.77 / $644.44 / $1,319.89	Professional		$333.77	$644.44	$1,319.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $451.50 / $1,063.66	Professional		$317.20	$451.50	$1,063.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $444.56 / $444.56 / $528.02	Facility		$444.56	$444.56	$528.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.30 / $498.60 / $784.22	Professional		$302.30	$498.60	$784.22