Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.83 / $3,016.00 / $7,521.00	Facility		$383.83	$3,016.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.07 / $599.16 / $1,063.52	Professional		$283.07	$599.16	$1,063.52
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 $394.13 / $515.21 / $1,430.44	Professional		$394.13	$515.21	$1,430.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $369.62 / $1,716.00 / $6,213.00	Facility		$369.62	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $369.62 / $369.62 / $869.04	Professional		$369.62	$369.62	$869.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.80 / $445.80 / $4,612.43	Facility		$445.80	$445.80	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $693.23 / $1,677.33	Professional		$280.19	$693.23	$1,677.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $272.86 / $442.83 / $715.20	Facility		$272.86	$442.83	$715.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $662.41 / $808.14 / $1,159.10	Professional		$662.41	$808.14	$1,159.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.90 / $848.39 / $1,084.89	Professional		$441.90	$848.39	$1,084.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $445.80 / $597.00 / $8,498.00	Facility		$445.80	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $322.83 / $755.86 / $1,930.24	Professional		$322.83	$755.86	$1,930.24
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 $519.07 / $761.24 / $2,120.36	Professional		$519.07	$761.24	$2,120.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $336.51 / $336.51 / $929.55	Facility		$336.51	$336.51	$929.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $414.72 / $838.62 / $1,204.19	Professional		$414.72	$838.62	$1,204.19