Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.49 / $4,442.00 / $10,024.00	Facility		$578.49	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.45 / $511.71 / $816.91	Professional		$354.45	$511.71	$816.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.72 / $438.85 / $1,034.25	Professional		$335.72	$438.85	$1,034.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $593.38 / $1,990.00 / $8,917.50	Facility		$593.38	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $593.38 / $593.38 / $593.38	Professional		$593.38	$593.38	$593.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.73 / $478.73 / $5,246.94	Facility		$478.73	$478.73	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.39 / $725.79 / $1,650.98	Professional		$394.39	$725.79	$1,650.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $446.72 / $1,087.60	Facility		$250.00	$446.72	$1,087.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $483.38 / $575.16 / $860.77	Professional		$483.38	$575.16	$860.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.71 / $465.35 / $766.46	Professional		$344.71	$465.35	$766.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.73 / $555.00 / $5,246.94	Facility		$478.73	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $430.12 / $725.40 / $1,513.58	Professional		$430.12	$725.40	$1,513.58
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 $371.49 / $526.47 / $1,314.02	Professional		$371.49	$526.47	$1,314.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $547.47 / $547.47 / $1,633.94	Facility		$547.47	$547.47	$1,633.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $527.17 / $894.22	Professional		$368.06	$527.17	$894.22