Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.34 / $3,951.00 / $9,038.00	Facility		$484.34	$3,951.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.69 / $397.26 / $714.83	Professional		$374.69	$397.26	$714.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $4,233.00 / $9,153.00	Facility		$2,402.00	$4,233.00	$9,153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.97 / $401.27 / $906.10	Professional		$306.97	$401.27	$906.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $545.32 / $545.32 / $37,499.62	Facility		$545.32	$545.32	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $545.32 / $545.32 / $545.32	Professional		$545.32	$545.32	$545.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.45 / $448.45 / $4,612.43	Facility		$448.45	$448.45	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.90 / $702.03 / $1,465.97	Professional		$450.90	$702.03	$1,465.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $635.00 / $1,074.47	Facility		$319.00	$635.00	$1,074.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $466.15 / $525.47 / $826.14	Professional		$466.15	$525.47	$826.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.99 / $495.88 / $712.30	Professional		$316.99	$495.88	$712.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $448.45 / $555.00 / $4,612.43	Facility		$448.45	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $461.14 / $684.08 / $1,406.72	Professional		$461.14	$684.08	$1,406.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,754.00 / $12,945.00	Facility		$1,749.00	$4,754.00	$12,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.71 / $525.41 / $1,176.92	Professional		$372.71	$525.41	$1,176.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $423.30 / $423.30 / $1,316.71	Facility		$423.30	$423.30	$1,316.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.99 / $495.88 / $822.33	Professional		$316.99	$495.88	$822.33