Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.30 / $3,316.00 / $7,307.00	Facility		$648.30	$3,316.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.34 / $576.29 / $894.31	Professional		$388.34	$576.29	$894.31
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 $351.91 / $460.02 / $1,135.03	Professional		$351.91	$460.02	$1,135.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $662.73 / $1,254.00 / $4,050.00	Facility		$662.73	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $662.73 / $662.73 / $662.73	Professional		$662.73	$662.73	$662.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.28 / $534.28 / $3,479.91	Facility		$534.28	$534.28	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $816.80 / $1,821.51	Professional		$450.00	$816.80	$1,821.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $440.00 / $1,190.66	Facility		$250.00	$440.00	$1,190.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $529.17 / $633.66 / $948.31	Professional		$529.17	$633.66	$948.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.99 / $513.07 / $845.05	Professional		$368.99	$513.07	$845.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $534.28 / $597.00 / $8,498.00	Facility		$534.28	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $477.29 / $808.95 / $1,699.55	Professional		$477.29	$808.95	$1,699.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.02 / $588.89 / $1,471.24	Professional		$409.02	$588.89	$1,471.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $603.61 / $603.61 / $1,679.64	Facility		$603.61	$603.61	$1,679.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $368.99 / $581.24 / $985.91	Professional		$368.99	$581.24	$985.91