Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.58 / $4,442.00 / $10,024.00	Facility		$576.58	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.53 / $577.58 / $1,122.47	Professional		$382.53	$577.58	$1,122.47
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 $302.41 / $389.71 / $1,081.68	Professional		$302.41	$389.71	$1,081.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $616.94 / $1,990.00 / $8,917.50	Facility		$616.94	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $616.94 / $616.94 / $616.94	Professional		$616.94	$616.94	$616.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.18 / $498.18 / $5,246.94	Facility		$498.18	$498.18	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.39 / $732.63 / $1,574.30	Professional		$424.39	$732.63	$1,574.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $746.02 / $1,366.40	Facility		$319.00	$746.02	$1,366.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $508.34 / $591.11 / $884.62	Professional		$508.34	$591.11	$884.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.35 / $427.52 / $805.24	Professional		$358.35	$427.52	$805.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $498.18 / $555.00 / $5,246.94	Facility		$498.18	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $454.05 / $780.70 / $1,584.15	Professional		$454.05	$780.70	$1,584.15
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 $419.19 / $591.67 / $1,222.78	Professional		$419.19	$591.67	$1,222.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $502.97 / $502.97 / $1,313.21	Facility		$502.97	$502.97	$1,313.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.29 / $528.44 / $929.62	Professional		$363.29	$528.44	$929.62