Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.65 / $4,545.00 / $10,024.00	Facility		$427.65	$4,545.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.16 / $384.17 / $729.70	Professional		$297.16	$384.17	$729.70
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 $250.59 / $322.93 / $800.87	Professional		$250.59	$322.93	$800.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $477.17 / $1,990.00 / $8,917.50	Facility		$477.17	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $477.17 / $477.17 / $477.17	Professional		$477.17	$477.17	$477.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.71 / $384.71 / $5,246.94	Facility		$384.71	$384.71	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.95 / $574.13 / $1,216.20	Professional		$323.95	$574.13	$1,216.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $564.00 / $902.40	Facility		$305.00	$564.00	$902.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $395.74 / $459.33 / $687.41	Professional		$395.74	$459.33	$687.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.23 / $390.52 / $625.20	Professional		$278.23	$390.52	$625.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $384.71 / $555.00 / $5,246.94	Facility		$384.71	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $350.50 / $574.13 / $1,216.20	Professional		$350.50	$574.13	$1,216.20
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 $324.68 / $452.24 / $859.83	Professional		$324.68	$452.24	$859.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $390.52 / $390.52 / $1,024.11	Facility		$390.52	$390.52	$1,024.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $280.73 / $411.82 / $721.78	Professional		$280.73	$411.82	$721.78