Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.63 / $3,316.00 / $7,307.00	Facility		$503.63	$3,316.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $443.43 / $677.49	Professional		$293.51	$443.43	$677.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.70 / $381.32 / $858.09	Professional		$291.70	$381.32	$858.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.72 / $1,254.00 / $4,050.00	Facility		$501.72	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $501.72 / $501.72 / $501.72	Professional		$501.72	$501.72	$501.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.88 / $403.88 / $3,479.91	Facility		$403.88	$403.88	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.30 / $617.99 / $1,379.84	Professional		$345.30	$617.99	$1,379.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $370.60 / $901.98	Facility		$250.00	$370.60	$901.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $400.88 / $480.27 / $718.75	Professional		$400.88	$480.27	$718.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.97 / $430.58 / $639.44	Professional		$282.97	$430.58	$639.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $403.88 / $597.00 / $8,498.00	Facility		$403.88	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $617.99 / $1,289.71	Professional		$367.50	$617.99	$1,289.71
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 $316.22 / $449.03 / $1,199.20	Professional		$316.22	$449.03	$1,199.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $456.74 / $456.74 / $1,278.99	Facility		$456.74	$456.74	$1,278.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $282.97 / $456.74 / $746.02	Professional		$282.97	$456.74	$746.02