Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.34 / $3,731.00 / $9,267.00	Facility		$480.34	$3,731.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.66 / $465.79 / $703.33	Professional		$359.66	$465.79	$703.33
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 $292.89 / $382.88 / $883.74	Professional		$292.89	$382.88	$883.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $507.61 / $1,254.00 / $4,050.00	Facility		$507.61	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $507.61 / $507.61 / $507.61	Professional		$507.61	$507.61	$507.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.81 / $409.81 / $3,479.91	Facility		$409.81	$409.81	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.83 / $621.12 / $1,414.67	Professional		$341.83	$621.12	$1,414.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $384.28 / $936.38	Facility		$300.00	$384.28	$936.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.17 / $493.97 / $739.25	Professional		$416.17	$493.97	$739.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.11 / $438.64 / $662.43	Professional		$292.11	$438.64	$662.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $409.81 / $555.00 / $3,479.91	Facility		$409.81	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $369.23 / $599.13 / $1,369.00	Professional		$369.23	$599.13	$1,369.00
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 $287.89 / $448.42 / $1,121.67	Professional		$287.89	$448.42	$1,121.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $483.35 / $483.35 / $1,075.43	Facility		$483.35	$483.35	$1,075.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $292.11 / $483.35 / $766.76	Professional		$292.11	$483.35	$766.76