Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.11 / $3,621.00 / $9,038.00	Facility		$381.11	$3,621.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.47 / $360.62 / $609.55	Professional		$276.47	$360.62	$609.55
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 $330.42 / $409.93 / $811.80	Professional		$330.42	$409.93	$811.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $445.96 / $1,990.00 / $8,917.50	Facility		$445.96	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $445.96 / $445.96 / $509.94	Professional		$445.96	$445.96	$509.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.52 / $534.52 / $5,246.94	Facility		$534.52	$534.52	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $542.36 / $1,183.85	Professional		$328.44	$542.36	$1,183.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $540.84 / $948.80	Facility		$318.00	$540.84	$948.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.31 / $487.29 / $729.25	Professional		$420.31	$487.29	$729.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.63 / $416.44 / $666.71	Professional		$287.63	$416.44	$666.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $534.52 / $555.00 / $5,246.94	Facility		$534.52	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $340.97 / $542.36 / $1,246.11	Professional		$340.97	$542.36	$1,246.11
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 $338.55 / $476.95 / $964.98	Professional		$338.55	$476.95	$964.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.30 / $363.30 / $956.80	Facility		$363.30	$363.30	$956.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $287.63 / $436.88 / $769.70	Professional		$287.63	$436.88	$769.70