Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.95 / $3,859.00 / $9,038.00	Facility		$413.95	$3,859.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $279.36 / $494.41	Professional		$123.34	$279.36	$494.41
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 $340.11 / $427.41 / $1,021.99	Professional		$340.11	$427.41	$1,021.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $252.79 / $252.79 / $4,050.00	Facility		$252.79	$252.79	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $252.79 / $576.50	Professional		$252.79	$252.79	$576.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.05 / $240.05 / $3,479.91	Facility		$240.05	$240.05	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.33 / $257.10 / $444.98	Facility		$186.33	$257.10	$444.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $348.76 / $418.51 / $626.33	Professional		$348.76	$418.51	$626.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.55 / $386.52 / $768.92	Professional		$311.55	$386.52	$768.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $240.05 / $555.00 / $3,479.91	Facility		$240.05	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $395.32 / $1,022.94	Professional		$275.57	$395.32	$1,022.94
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 $274.20 / $562.35 / $1,448.58	Professional		$274.20	$562.35	$1,448.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $194.92 / $195.05	Facility		$194.92	$194.92	$195.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $288.63 / $411.00 / $768.92	Professional		$288.63	$411.00	$768.92