Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.07 / $4,392.00 / $10,296.00	Facility		$502.07	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.85 / $502.07 / $1,077.83	Professional		$406.85	$502.07	$1,077.83
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 $335.67 / $438.79 / $1,053.72	Professional		$335.67	$438.79	$1,053.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $593.59 / $593.59 / $37,499.62	Facility		$593.59	$593.59	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $593.59 / $593.59 / $593.59	Professional		$593.59	$593.59	$593.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.04 / $487.04 / $7,227.90	Facility		$487.04	$487.04	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.37 / $767.32 / $1,597.31	Professional		$481.37	$767.32	$1,597.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $750.00 / $1,200.00	Facility		$319.00	$750.00	$1,200.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $504.05 / $568.39 / $893.25	Professional		$504.05	$568.39	$893.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.04 / $459.42 / $773.08	Professional		$344.04	$459.42	$773.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $487.04 / $555.00 / $7,227.90	Facility		$487.04	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $495.85 / $751.86 / $1,597.31	Professional		$495.85	$751.86	$1,597.31
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 $382.18 / $558.10 / $1,282.53	Professional		$382.18	$558.10	$1,282.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $459.42 / $459.42 / $1,396.49	Facility		$459.42	$459.42	$1,396.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $369.37 / $509.59 / $892.50	Professional		$369.37	$509.59	$892.50