Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $3,938.00 / $9,038.00	Facility		$530.64	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $510.50 / $772.13	Professional		$323.70	$510.50	$772.13
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 $316.14 / $413.26 / $998.01	Professional		$316.14	$413.26	$998.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $558.61 / $1,716.00 / $6,213.00	Facility		$558.61	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $558.61 / $558.61 / $558.61	Professional		$558.61	$558.61	$558.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.74 / $450.74 / $4,612.43	Facility		$450.74	$450.74	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.27 / $708.19 / $1,554.13	Professional		$375.27	$708.19	$1,554.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $421.94 / $1,027.98	Facility		$319.00	$421.94	$1,027.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $456.88 / $542.91 / $812.49	Professional		$456.88	$542.91	$812.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.01 / $438.24 / $721.82	Professional		$305.01	$438.24	$721.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $450.74 / $555.00 / $4,612.43	Facility		$450.74	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $706.05 / $1,492.92	Professional		$415.50	$706.05	$1,492.92
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 $346.45 / $500.49 / $1,227.23	Professional		$346.45	$500.49	$1,227.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $515.58 / $515.58 / $1,427.46	Facility		$515.58	$515.58	$1,427.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $305.01 / $496.48 / $842.13	Professional		$305.01	$496.48	$842.13