Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.10 / $2,920.00 / $7,185.00	Facility		$481.10	$2,920.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.48 / $489.90 / $807.81	Professional		$369.48	$489.90	$807.81
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 $345.51 / $451.65 / $1,029.59	Professional		$345.51	$451.65	$1,029.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $493.50 / $1,254.00 / $4,050.00	Facility		$493.50	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $493.50 / $493.50 / $605.22	Professional		$493.50	$493.50	$605.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.55 / $596.55 / $3,479.91	Facility		$596.55	$596.55	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.33 / $698.58 / $1,537.08	Professional		$370.33	$698.58	$1,537.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $365.09 / $888.86	Facility		$250.00	$365.09	$888.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $490.54 / $582.41 / $871.60	Professional		$490.54	$582.41	$871.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.85 / $522.16 / $773.46	Professional		$347.85	$522.16	$773.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $596.55 / $597.00 / $8,498.00	Facility		$596.55	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $372.06 / $708.74 / $1,537.08	Professional		$372.06	$708.74	$1,537.08
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 $357.53 / $521.91 / $1,319.94	Professional		$357.53	$521.91	$1,319.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $450.12 / $450.12 / $1,226.03	Facility		$450.12	$450.12	$1,226.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $552.47 / $886.03	Professional		$374.98	$552.47	$886.03