Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.35 / $3,978.00 / $9,038.00	Facility		$613.35	$3,978.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.81 / $592.26 / $1,064.33	Professional		$369.81	$592.26	$1,064.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.13 / $422.85 / $1,145.56	Professional		$328.13	$422.85	$1,145.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $688.13 / $1,716.00 / $6,213.00	Facility		$688.13	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $688.13 / $688.13 / $688.13	Professional		$688.13	$688.13	$688.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.40 / $551.40 / $4,612.43	Facility		$551.40	$551.40	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.11 / $782.09 / $1,751.08	Professional		$377.11	$782.09	$1,751.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $519.65 / $1,270.64	Facility		$319.00	$519.65	$1,270.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $564.73 / $657.79 / $984.42	Professional		$564.73	$657.79	$984.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.21 / $531.80 / $902.74	Professional		$392.21	$531.80	$902.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $551.40 / $555.00 / $4,612.43	Facility		$551.40	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $468.63 / $781.91 / $1,796.85	Professional		$468.63	$781.91	$1,796.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.49 / $574.69 / $1,434.79	Professional		$394.49	$574.69	$1,434.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $531.80 / $531.80 / $1,518.06	Facility		$531.80	$531.80	$1,518.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $392.21 / $611.22 / $1,156.64	Professional		$392.21	$611.22	$1,156.64