Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.88 / $3,996.00 / $9,267.00	Facility		$404.88	$3,996.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.79 / $353.38 / $720.04	Professional		$254.79	$353.38	$720.04
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 $233.00 / $304.58 / $698.89	Professional		$233.00	$304.58	$698.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $406.94 / $1,990.00 / $8,917.50	Facility		$406.94	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $406.94 / $406.94 / $406.94	Professional		$406.94	$406.94	$406.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.50 / $327.50 / $5,246.94	Facility		$327.50	$327.50	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.54 / $501.32 / $1,120.53	Professional		$270.54	$501.32	$1,120.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.47 / $487.47 / $800.00	Facility		$300.47	$487.47	$800.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $324.98 / $389.22 / $582.49	Professional		$324.98	$389.22	$582.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.98 / $315.10 / $518.98	Professional		$231.98	$315.10	$518.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $327.50 / $597.00 / $8,498.00	Facility		$327.50	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $298.98 / $495.98 / $1,040.21	Professional		$298.98	$495.98	$1,040.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $360.41 / $929.29	Professional		$241.08	$360.41	$929.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $370.70 / $370.70 / $1,030.59	Facility		$370.70	$370.70	$1,030.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $231.98 / $356.96 / $605.48	Professional		$231.98	$356.96	$605.48