Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.35 / $3,659.00 / $9,267.00	Facility		$194.35	$3,659.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $486.19 / $1,166.50	Professional		$114.19	$486.19	$1,166.50
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 $549.85 / $708.53 / $1,966.59	Professional		$549.85	$708.53	$1,966.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $179.31 / $179.31 / $4,050.00	Facility		$179.31	$179.31	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $179.31 / $179.31 / $1,043.49	Professional		$179.31	$179.31	$1,043.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.26 / $212.26 / $3,479.91	Facility		$212.26	$212.26	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $576.86 / $2,343.55	Professional		$146.25	$576.86	$2,343.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $139.49 / $207.90 / $346.00	Facility		$139.49	$207.90	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $632.08 / $816.18 / $1,221.45	Professional		$632.08	$816.18	$1,221.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.90 / $743.63 / $1,152.57	Professional		$523.90	$743.63	$1,152.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $212.26 / $555.00 / $3,479.91	Facility		$212.26	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $904.23 / $2,514.73	Professional		$176.75	$904.23	$2,514.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.96 / $913.80 / $2,149.34	Professional		$522.96	$913.80	$2,149.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.69 / $133.69 / $241.76	Facility		$133.69	$133.69	$241.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $393.83 / $794.28 / $1,252.81	Professional		$393.83	$794.28	$1,252.81