Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.76 / $3,659.00 / $9,038.00	Facility		$570.76	$3,659.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.84 / $547.04 / $819.26	Professional		$430.84	$547.04	$819.26
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 $337.09 / $440.65 / $1,038.30	Professional		$337.09	$440.65	$1,038.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $595.87 / $595.87 / $4,050.00	Facility		$595.87	$595.87	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $595.87 / $595.87 / $595.87	Professional		$595.87	$595.87	$595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.58 / $480.58 / $3,479.91	Facility		$480.58	$480.58	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.87 / $728.62 / $1,656.95	Professional		$407.87	$728.62	$1,656.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $340.20 / $1,090.73	Facility		$210.00	$340.20	$1,090.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $484.77 / $577.05 / $863.59	Professional		$484.77	$577.05	$863.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.07 / $512.42 / $775.11	Professional		$337.07	$512.42	$775.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $480.58 / $555.00 / $3,479.91	Facility		$480.58	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $442.45 / $728.62 / $1,517.05	Professional		$442.45	$728.62	$1,517.05
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 $339.40 / $525.40 / $1,319.91	Professional		$339.40	$525.40	$1,319.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $565.55 / $565.55 / $1,395.26	Facility		$565.55	$565.55	$1,395.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $350.68 / $565.55 / $897.18	Professional		$350.68	$565.55	$897.18