Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.97 / $3,316.00 / $7,773.00	Facility		$381.97	$3,316.00	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $501.28 / $789.13	Professional		$305.27	$501.28	$789.13
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 $354.80 / $453.13 / $1,098.95	Professional		$354.80	$453.13	$1,098.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $391.22 / $1,716.00 / $6,213.00	Facility		$391.22	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $391.22 / $391.22 / $571.22	Professional		$391.22	$391.22	$571.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.50 / $474.50 / $4,612.43	Facility		$474.50	$474.50	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.35 / $617.72 / $1,437.74	Professional		$296.35	$617.72	$1,437.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $720.00	Facility		$250.00	$332.00	$720.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $437.61 / $515.37 / $771.28	Professional		$437.61	$515.37	$771.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.84 / $478.79 / $701.01	Professional		$337.84	$478.79	$701.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $474.50 / $555.00 / $4,612.43	Facility		$474.50	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $341.80 / $637.67 / $1,463.09	Professional		$341.80	$637.67	$1,463.09
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 $302.73 / $482.68 / $1,270.79	Professional		$302.73	$482.68	$1,270.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $372.30 / $372.30 / $926.31	Facility		$372.30	$372.30	$926.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $511.50 / $775.27	Professional		$355.43	$511.50	$775.27