Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.07 / $5,845.00 / $20,207.09	Facility		$522.07	$5,845.00	$20,207.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.79 / $486.45 / $938.30	Professional		$386.79	$486.45	$938.30
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 $297.39 / $388.76 / $911.98	Professional		$297.39	$388.76	$911.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $528.88 / $1,990.00 / $8,917.50	Facility		$528.88	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $528.88 / $528.88 / $528.88	Professional		$528.88	$528.88	$528.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $426.40 / $5,246.94	Facility		$426.40	$426.40	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $642.87 / $1,469.63	Professional		$345.00	$642.87	$1,469.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $299.00 / $398.23 / $969.75	Facility		$299.00	$398.23	$969.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $438.05 / $525.82 / $767.62	Professional		$438.05	$525.82	$767.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.94 / $542.99 / $757.21	Professional		$294.94	$542.99	$757.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $555.00 / $5,246.94	Facility		$426.40	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $619.15 / $1,337.20	Professional		$345.00	$619.15	$1,337.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,066.00 / $3,682.00 / $7,203.00	Facility		$2,066.00	$3,682.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.01 / $463.18 / $1,035.68	Professional		$304.01	$463.18	$1,035.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $501.71 / $501.71 / $1,263.63	Facility		$501.71	$501.71	$1,263.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $542.99 / $959.18	Professional		$306.80	$542.99	$959.18