Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.68 / $3,996.00 / $9,267.00	Facility		$492.68	$3,996.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.51 / $419.35 / $871.85	Professional		$302.51	$419.35	$871.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $361.30 / $834.86	Professional		$276.39	$361.30	$834.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $481.81 / $1,990.00 / $8,917.50	Facility		$481.81	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $481.81 / $481.81 / $481.81	Professional		$481.81	$481.81	$481.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $388.19 / $5,246.94	Facility		$388.19	$388.19	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.94 / $594.02 / $1,325.95	Professional		$316.94	$594.02	$1,325.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $648.00 / $1,101.00	Facility		$319.00	$648.00	$1,101.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $386.11 / $461.97 / $691.36	Professional		$386.11	$461.97	$691.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $373.41 / $615.04	Professional		$278.58	$373.41	$615.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $597.00 / $8,498.00	Facility		$388.19	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $358.78 / $575.29 / $1,239.75	Professional		$358.78	$575.29	$1,239.75
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 $298.44 / $431.08 / $1,065.26	Professional		$298.44	$431.08	$1,065.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $439.31 / $439.31 / $1,337.56	Facility		$439.31	$439.31	$1,337.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $303.81 / $423.03 / $717.56	Professional		$303.81	$423.03	$717.56