Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.27 / $3,938.00 / $9,038.00	Facility		$576.27	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.49 / $522.37 / $824.38	Professional		$348.49	$522.37	$824.38
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 $320.07 / $412.47 / $1,045.80	Professional		$320.07	$412.47	$1,045.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $599.37 / $1,716.00 / $6,213.00	Facility		$599.37	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $599.37 / $599.37 / $599.37	Professional		$599.37	$599.37	$599.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.74 / $483.74 / $4,612.43	Facility		$483.74	$483.74	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.86 / $734.07 / $1,666.17	Professional		$397.86	$734.07	$1,666.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $450.81 / $1,097.55	Facility		$319.00	$450.81	$1,097.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $487.80 / $580.67 / $869.02	Professional		$487.80	$580.67	$869.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.25 / $520.62 / $773.87	Professional		$332.25	$520.62	$773.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $483.74 / $555.00 / $4,612.43	Facility		$483.74	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $436.68 / $726.82 / $1,524.69	Professional		$436.68	$726.82	$1,524.69
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 $367.19 / $522.91 / $1,311.61	Professional		$367.19	$522.91	$1,311.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $552.76 / $552.76 / $1,465.24	Facility		$552.76	$552.76	$1,465.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $332.25 / $552.76 / $902.86	Professional		$332.25	$552.76	$902.86