Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.77 / $3,996.00 / $9,868.00	Facility		$809.77	$3,996.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.79 / $793.90 / $1,678.38	Professional		$553.79	$793.90	$1,678.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.41 / $568.83 / $1,539.16	Professional		$441.41	$568.83	$1,539.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $924.21 / $1,716.00 / $6,213.00	Facility		$924.21	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $924.21 / $924.21 / $924.21	Professional		$924.21	$924.21	$924.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.56 / $738.56 / $4,612.43	Facility		$738.56	$738.56	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.71 / $1,048.41 / $2,343.37	Professional		$504.71	$1,048.41	$2,343.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $600.00 / $1,690.38	Facility		$319.00	$600.00	$1,690.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $751.28 / $877.50 / $1,313.22	Professional		$751.28	$877.50	$1,313.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.84 / $713.02 / $1,210.33	Professional		$521.84	$713.02	$1,210.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $738.56 / $4,612.43	Facility		$555.00	$738.56	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $575.13 / $1,048.41 / $2,347.34	Professional		$575.13	$1,048.41	$2,347.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.04 / $794.06 / $1,803.81	Professional		$541.04	$794.06	$1,803.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $713.02 / $713.02 / $2,054.69	Facility		$713.02	$713.02	$2,054.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $521.84 / $819.48 / $1,550.75	Professional		$521.84	$819.48	$1,550.75