Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.82 / $3,347.00 / $7,839.00	Facility		$555.82	$3,347.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.71 / $500.23 / $796.04	Professional		$327.71	$500.23	$796.04
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 $333.41 / $435.84 / $1,007.15	Professional		$333.41	$435.84	$1,007.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $576.98 / $1,254.00 / $4,050.00	Facility		$576.98	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $576.98 / $576.98 / $576.98	Professional		$576.98	$576.98	$576.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.37 / $465.37 / $3,479.91	Facility		$465.37	$465.37	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.09 / $710.32 / $1,605.60	Professional		$395.09	$710.32	$1,605.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $435.22 / $1,059.82	Facility		$319.00	$435.22	$1,059.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $471.03 / $560.17 / $838.34	Professional		$471.03	$560.17	$838.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $502.23 / $745.44	Professional		$315.64	$502.23	$745.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $465.37 / $555.00 / $3,479.91	Facility		$465.37	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $428.52 / $710.32 / $1,475.44	Professional		$428.52	$710.32	$1,475.44
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 $339.36 / $504.87 / $1,280.31	Professional		$339.36	$504.87	$1,280.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $532.45 / $532.45 / $1,408.63	Facility		$532.45	$532.45	$1,408.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $532.45 / $869.69	Professional		$315.64	$532.45	$869.69