Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.95 / $3,917.00 / $9,038.00	Facility		$609.95	$3,917.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.99 / $555.46 / $840.84	Professional		$399.99	$555.46	$840.84
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 $340.08 / $438.25 / $1,111.03	Professional		$340.08	$438.25	$1,111.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $637.62 / $1,716.00 / $6,213.00	Facility		$637.62	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $637.62 / $637.62 / $637.62	Professional		$637.62	$637.62	$637.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.57 / $514.57 / $4,612.43	Facility		$514.57	$514.57	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.13 / $795.39 / $1,771.01	Professional		$401.13	$795.39	$1,771.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $765.94 / $1,276.80	Facility		$319.00	$765.94	$1,276.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $517.83 / $617.00 / $923.38	Professional		$517.83	$617.00	$923.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.49 / $499.34 / $822.44	Professional		$350.49	$499.34	$822.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $514.57 / $555.00 / $4,612.43	Facility		$514.57	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $462.91 / $771.57 / $1,627.82	Professional		$462.91	$771.57	$1,627.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,406.00 / $4,893.00 / $10,046.00	Facility		$2,406.00	$4,893.00	$10,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.20 / $562.09 / $1,412.66	Professional		$376.20	$562.09	$1,412.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $587.46 / $587.46 / $1,564.31	Facility		$587.46	$587.46	$1,564.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $350.49 / $565.69 / $959.53	Professional		$350.49	$565.69	$959.53