Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.29 / $3,621.00 / $8,668.04	Facility		$364.29	$3,621.00	$8,668.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.67 / $334.33 / $724.02	Professional		$252.67	$334.33	$724.02
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 $203.68 / $262.48 / $698.76	Professional		$203.68	$262.48	$698.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $408.90 / $408.90 / $4,050.00	Facility		$408.90	$408.90	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $408.90 / $408.90 / $408.90	Professional		$408.90	$408.90	$408.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.06 / $330.06 / $7,227.90	Facility		$330.06	$330.06	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $488.15 / $1,039.91	Professional		$284.45	$488.15	$1,039.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $307.06 / $504.53 / $920.00	Facility		$307.06	$504.53	$920.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $337.77 / $410.35 / $585.49	Professional		$337.77	$410.35	$585.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.25 / $674.88 / $831.08	Professional		$252.25	$674.88	$831.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $330.06 / $555.00 / $7,227.90	Facility		$330.06	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $487.50 / $1,039.91	Professional		$300.00	$487.50	$1,039.91
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 $283.30 / $396.31 / $751.80	Professional		$283.30	$396.31	$751.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.72 / $331.72 / $967.04	Facility		$331.72	$331.72	$967.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $700.95 / $883.31	Professional		$296.77	$700.95	$883.31