Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.13 / $3,316.00 / $7,307.00	Facility		$521.13	$3,316.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.06 / $453.41 / $701.08	Professional		$305.06	$453.41	$701.08
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 $301.80 / $394.51 / $889.39	Professional		$301.80	$394.51	$889.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $519.65 / $1,254.00 / $4,050.00	Facility		$519.65	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $519.65 / $519.65 / $519.65	Professional		$519.65	$519.65	$519.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.48 / $418.48 / $3,479.91	Facility		$418.48	$418.48	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.88 / $639.54 / $1,429.08	Professional		$356.88	$639.54	$1,429.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $383.51 / $933.39	Facility		$245.00	$383.51	$933.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $414.84 / $497.03 / $743.83	Professional		$414.84	$497.03	$743.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $445.61 / $662.38	Professional		$293.27	$445.61	$662.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $418.48 / $597.00 / $8,498.00	Facility		$418.48	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $374.88 / $639.54 / $1,332.20	Professional		$374.88	$639.54	$1,332.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $464.34 / $1,145.98	Professional		$326.52	$464.34	$1,145.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $473.13 / $473.13 / $1,315.53	Facility		$473.13	$473.13	$1,315.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $473.13 / $772.79	Professional		$293.27	$473.13	$772.79