Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.59 / $4,260.00 / $10,024.00	Facility		$409.59	$4,260.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $378.56 / $859.11	Professional		$293.32	$378.56	$859.11
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 $224.72 / $289.60 / $784.17	Professional		$224.72	$289.60	$784.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $470.76 / $1,990.00 / $8,917.50	Facility		$470.76	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $470.76 / $470.76	Professional		$470.76	$470.76	$470.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $378.98 / $5,246.94	Facility		$378.98	$378.98	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.91 / $527.14 / $1,201.53	Professional		$317.91	$527.14	$1,201.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $332.00 / $878.56	Facility		$100.00	$332.00	$878.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $390.47 / $452.98 / $677.91	Professional		$390.47	$452.98	$677.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.20 / $384.85 / $616.14	Professional		$274.20	$384.85	$616.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $555.00 / $5,246.94	Facility		$378.98	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $328.95 / $575.39 / $1,200.39	Professional		$328.95	$575.39	$1,200.39
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 $329.57 / $442.46 / $846.58	Professional		$329.57	$442.46	$846.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $384.85 / $985.74	Facility		$384.85	$384.85	$985.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $406.13 / $711.31	Professional		$278.56	$406.13	$711.31