Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.75 / $4,442.00 / $10,024.00	Facility		$538.75	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.63 / $496.80 / $924.98	Professional		$374.63	$496.80	$924.98
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 $324.80 / $418.56 / $1,017.19	Professional		$324.80	$418.56	$1,017.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $604.72 / $604.72 / $8,917.50	Facility		$604.72	$604.72	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $604.72 / $604.72 / $604.72	Professional		$604.72	$604.72	$604.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.84 / $487.84 / $7,227.90	Facility		$487.84	$487.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.22 / $714.73 / $1,540.76	Professional		$415.22	$714.73	$1,540.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $730.30 / $1,428.80	Facility		$319.00	$730.30	$1,428.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $497.30 / $578.65 / $865.98	Professional		$497.30	$578.65	$865.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.04 / $492.71 / $788.81	Professional		$351.04	$492.71	$788.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $487.84 / $555.00 / $7,227.90	Facility		$487.84	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $444.52 / $759.10 / $1,553.19	Professional		$444.52	$759.10	$1,553.19
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 $406.05 / $581.04 / $1,198.41	Professional		$406.05	$581.04	$1,198.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $492.71 / $492.71 / $1,289.68	Facility		$492.71	$492.71	$1,289.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $355.65 / $517.29 / $910.65	Professional		$355.65	$517.29	$910.65