Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.78 / $3,938.00 / $9,038.00	Facility		$473.78	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.57 / $459.68 / $912.24	Professional		$354.57	$459.68	$912.24
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 $266.55 / $343.50 / $879.51	Professional		$266.55	$343.50	$879.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $500.43 / $1,716.00 / $6,213.00	Facility		$500.43	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $500.43 / $500.43 / $500.43	Professional		$500.43	$500.43	$500.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.65 / $404.65 / $4,612.43	Facility		$404.65	$404.65	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.18 / $626.37 / $1,394.16	Professional		$337.18	$626.37	$1,394.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $332.00 / $922.73	Facility		$100.00	$332.00	$922.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $410.10 / $487.37 / $729.38	Professional		$410.10	$487.37	$729.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.85 / $405.60 / $653.98	Professional		$289.85	$405.60	$653.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $404.65 / $555.00 / $4,612.43	Facility		$404.65	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $611.04 / $1,272.30	Professional		$342.13	$611.04	$1,272.30
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 $280.56 / $440.61 / $985.41	Professional		$280.56	$440.61	$985.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $477.18 / $477.18 / $1,185.75	Facility		$477.18	$477.18	$1,185.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $289.85 / $438.55 / $756.98	Professional		$289.85	$438.55	$756.98