Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.52 / $4,043.00 / $10,296.00	Facility		$271.52	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.47 / $246.40 / $684.61	Professional		$225.47	$246.40	$684.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.38 / $229.88 / $640.12	Professional		$178.38	$229.88	$640.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $330.87 / $330.87 / $10,957.50	Facility		$330.87	$330.87	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $330.87 / $330.87 / $330.87	Professional		$330.87	$330.87	$330.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.20 / $272.20 / $3,479.91	Facility		$272.20	$272.20	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.55 / $434.08 / $1,185.94	Professional		$284.55	$434.08	$1,185.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $255.25 / $590.00 / $1,110.00	Facility		$255.25	$590.00	$1,110.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.77 / $352.79 / $500.26	Professional		$280.77	$352.79	$500.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.46 / $302.95 / $470.07	Professional		$190.46	$302.95	$470.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $272.20 / $555.00 / $3,479.91	Facility		$272.20	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $399.31 / $1,001.17	Professional		$289.17	$399.31	$1,001.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.79 / $319.06 / $725.26	Professional		$213.79	$319.06	$725.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $254.33 / $254.33 / $853.14	Facility		$254.33	$254.33	$853.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $190.46 / $323.11 / $595.45	Professional		$190.46	$323.11	$595.45