Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.68 / $3,347.00 / $7,735.00	Facility		$384.68	$3,347.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.51 / $340.10 / $691.02	Professional		$244.51	$340.10	$691.02
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 $223.32 / $291.93 / $667.58	Professional		$223.32	$291.93	$667.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $390.46 / $1,716.00 / $6,213.00	Facility		$390.46	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $390.46 / $390.46 / $390.46	Professional		$390.46	$390.46	$390.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.87 / $313.87 / $4,612.43	Facility		$313.87	$313.87	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.20 / $482.80 / $1,074.82	Professional		$257.20	$482.80	$1,074.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $287.82 / $466.79 / $753.60	Facility		$287.82	$466.79	$753.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $311.19 / $373.03 / $558.25	Professional		$311.19	$373.03	$558.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.51 / $334.44 / $497.25	Professional		$219.51	$334.44	$497.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $313.87 / $597.00 / $8,498.00	Facility		$313.87	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $286.29 / $471.76 / $1,004.43	Professional		$286.29	$471.76	$1,004.43
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 $235.21 / $346.83 / $921.60	Professional		$235.21	$346.83	$921.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $355.18 / $355.18 / $980.18	Facility		$355.18	$355.18	$980.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $219.51 / $355.18 / $580.13	Professional		$219.51	$355.18	$580.13