Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.77 / $3,316.00 / $7,307.00	Facility		$500.77	$3,316.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $431.16 / $672.81	Professional		$292.77	$431.16	$672.81
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 $265.33 / $346.85 / $854.20	Professional		$265.33	$346.85	$854.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $499.25 / $1,254.00 / $4,050.00	Facility		$499.25	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $499.25 / $499.25 / $499.25	Professional		$499.25	$499.25	$499.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.93 / $401.93 / $3,479.91	Facility		$401.93	$401.93	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.61 / $614.63 / $1,373.15	Professional		$342.61	$614.63	$1,373.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $368.12 / $895.75	Facility		$250.00	$368.12	$895.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $477.15 / $714.08	Professional		$398.11	$477.15	$714.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.17 / $427.79 / $636.32	Professional		$281.17	$427.79	$636.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $401.93 / $597.00 / $8,498.00	Facility		$401.93	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $375.30 / $614.63 / $1,284.07	Professional		$375.30	$614.63	$1,284.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,114.00 / $8,208.00	Facility		$2,264.00	$4,114.00	$8,208.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.51 / $434.27 / $994.54	Professional		$304.51	$434.27	$994.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $454.52 / $454.52 / $1,261.54	Facility		$454.52	$454.52	$1,261.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.17 / $454.52 / $742.39	Professional		$281.17	$454.52	$742.39