Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.07 / $4,452.00 / $10,024.00	Facility		$410.07	$4,452.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.86 / $385.90 / $712.05	Professional		$305.86	$385.90	$712.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $6,758.00 / $18,161.00	Facility		$3,283.00	$6,758.00	$18,161.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.50 / $319.62 / $729.62	Professional		$244.50	$319.62	$729.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $422.34 / $1,990.00 / $8,917.50	Facility		$422.34	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $422.34 / $422.34 / $422.34	Professional		$422.34	$422.34	$422.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.34 / $339.34 / $5,246.94	Facility		$339.34	$339.34	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $518.23 / $1,170.76	Professional		$289.25	$518.23	$1,170.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $336.17 / $766.55	Facility		$250.00	$336.17	$766.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.69 / $406.20 / $607.90	Professional		$340.69	$406.20	$607.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.43 / $360.70 / $545.58	Professional		$243.43	$360.70	$545.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $339.34 / $555.00 / $5,246.94	Facility		$339.34	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $313.43 / $516.27 / $1,145.26	Professional		$313.43	$516.27	$1,145.26
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 $249.45 / $369.59 / $939.34	Professional		$249.45	$369.59	$939.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $398.08 / $398.08 / $995.73	Facility		$398.08	$398.08	$995.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $398.08 / $631.50	Professional		$250.93	$398.08	$631.50