Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.11 / $4,392.00 / $10,296.00	Facility		$333.11	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.74 / $314.44 / $568.94	Professional		$263.74	$314.44	$568.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.46 / $298.64 / $705.80	Professional		$228.46	$298.64	$705.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $388.99 / $388.99 / $37,499.62	Facility		$388.99	$388.99	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $388.99 / $388.99 / $388.99	Professional		$388.99	$388.99	$388.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.32 / $319.32 / $7,227.90	Facility		$319.32	$319.32	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.47 / $565.07 / $1,055.70	Professional		$335.47	$565.07	$1,055.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $296.69 / $610.00 / $1,522.50	Facility		$296.69	$610.00	$1,522.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.36 / $367.76 / $582.40	Professional		$326.36	$367.76	$582.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $261.61 / $509.92	Professional		$164.98	$261.61	$509.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $319.32 / $555.00 / $7,227.90	Facility		$319.32	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $339.72 / $565.07 / $1,374.44	Professional		$339.72	$565.07	$1,374.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.92 / $368.56 / $888.61	Professional		$266.92	$368.56	$888.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $296.82 / $296.82 / $1,006.32	Facility		$296.82	$296.82	$1,006.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $296.82 / $576.61	Professional		$164.98	$296.82	$576.61