Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.37 / $3,880.00 / $9,906.77	Facility		$444.37	$3,880.00	$9,906.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $397.11 / $907.36	Professional		$303.77	$397.11	$907.36
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 $249.74 / $321.83 / $802.86	Professional		$249.74	$321.83	$802.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $496.95 / $1,254.00 / $4,050.00	Facility		$496.95	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $496.95 / $496.95 / $496.95	Professional		$496.95	$496.95	$496.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.14 / $404.14 / $3,479.91	Facility		$404.14	$404.14	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.72 / $548.58 / $1,269.01	Professional		$323.72	$548.58	$1,269.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $488.00 / $931.64	Facility		$260.00	$488.00	$931.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $414.06 / $480.68 / $719.36	Professional		$414.06	$480.68	$719.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $410.97 / $657.94	Professional		$267.83	$410.97	$657.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $404.14 / $555.00 / $3,479.91	Facility		$404.14	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.61 / $581.50 / $1,217.03	Professional		$346.61	$581.50	$1,217.03
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 $321.51 / $468.98 / $875.96	Professional		$321.51	$468.98	$875.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $410.97 / $410.97 / $900.16	Facility		$410.97	$410.97	$900.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $430.95 / $759.57	Professional		$267.83	$430.95	$759.57