Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.22 / $3,659.00 / $8,134.00	Facility		$403.22	$3,659.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.52 / $382.08 / $821.96	Professional		$279.52	$382.08	$821.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $292.62 / $777.63	Professional		$227.07	$292.62	$777.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $452.24 / $1,254.00 / $4,050.00	Facility		$452.24	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $452.24 / $452.24 / $452.24	Professional		$452.24	$452.24	$452.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.47 / $365.47 / $3,479.91	Facility		$365.47	$365.47	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.72 / $528.58 / $1,149.57	Professional		$314.72	$528.58	$1,149.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $395.00 / $835.52	Facility		$319.00	$395.00	$835.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.34 / $432.72 / $647.59	Professional		$371.34	$432.72	$647.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.72 / $367.35 / $588.11	Professional		$261.72	$367.35	$588.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $365.47 / $555.00 / $3,479.91	Facility		$365.47	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $314.72 / $524.86 / $1,149.57	Professional		$314.72	$524.86	$1,149.57
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 $317.01 / $443.88 / $836.59	Professional		$317.01	$443.88	$836.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $367.35 / $367.35 / $1,012.07	Facility		$367.35	$367.35	$1,012.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $274.98 / $387.95 / $678.95	Professional		$274.98	$387.95	$678.95