Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.71 / $3,938.00 / $9,038.00	Facility		$656.71	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.49 / $594.51 / $942.60	Professional		$394.49	$594.51	$942.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.16 / $517.86 / $1,194.41	Professional		$396.16	$517.86	$1,194.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $685.97 / $1,716.00 / $6,213.00	Facility		$685.97	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $685.97 / $685.97 / $685.97	Professional		$685.97	$685.97	$685.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.51 / $553.51 / $4,612.43	Facility		$553.51	$553.51	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.93 / $838.99 / $1,904.56	Professional		$421.93	$838.99	$1,904.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $549.34 / $1,254.94	Facility		$319.00	$549.34	$1,254.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $557.75 / $663.78 / $993.38	Professional		$557.75	$663.78	$993.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.26 / $595.12 / $884.27	Professional		$377.26	$595.12	$884.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $553.51 / $555.00 / $4,612.43	Facility		$553.51	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $498.09 / $831.05 / $1,747.29	Professional		$498.09	$831.05	$1,747.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.46 / $628.62 / $1,775.67	Professional		$429.46	$628.62	$1,775.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $631.62 / $631.62 / $1,678.77	Facility		$631.62	$631.62	$1,678.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $377.26 / $631.62 / $1,031.66	Professional		$377.26	$631.62	$1,031.66