Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.51 / $5,228.00 / $11,996.00	Facility		$498.51	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.62 / $810.65 / $1,651.51	Professional		$282.62	$810.65	$1,651.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,007.00 / $16,083.00	Facility		$4,583.00	$8,007.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.20 / $856.66 / $2,579.42	Professional		$644.20	$856.66	$2,579.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $4,275.50 / $16,534.50	Facility		$448.50	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $448.50 / $1,409.61	Professional		$448.50	$448.50	$1,409.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.83 / $546.83 / $13,296.25	Facility		$546.83	$546.83	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $988.76 / $3,097.82	Professional		$345.00	$988.76	$3,097.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $336.60 / $811.13	Facility		$250.00	$336.60	$811.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $983.50 / $1,152.78 / $1,725.19	Professional		$983.50	$1,152.78	$1,725.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.02 / $935.63 / $1,740.01	Professional		$636.02	$935.63	$1,740.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $546.83 / $597.00 / $23,610.00	Facility		$546.83	$597.00	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $384.03 / $1,266.26 / $3,135.15	Professional		$384.03	$1,266.26	$3,135.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,403.00	Facility		$2,444.00	$6,762.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.99 / $1,274.21 / $3,020.80	Professional		$682.99	$1,274.21	$3,020.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $342.04 / $342.04 / $1,006.85	Facility		$342.04	$342.04	$1,006.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $599.26 / $930.05 / $1,740.01	Professional		$599.26	$930.05	$1,740.01