Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.15 / $4,039.00 / $10,170.00	Facility		$618.15	$4,039.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.55 / $694.45 / $1,318.29	Professional		$487.55	$694.45	$1,318.29
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 $419.40 / $548.24 / $1,540.34	Professional		$419.40	$548.24	$1,540.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $655.35 / $2,390.00 / $10,957.50	Facility		$655.35	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $655.35 / $655.35 / $878.32	Professional		$655.35	$655.35	$878.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $785.77 / $785.77 / $6,511.02	Facility		$785.77	$785.77	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.60 / $951.49 / $2,186.62	Professional		$450.60	$951.49	$2,186.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $522.50 / $1,197.08	Facility		$319.00	$522.50	$1,197.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $702.44 / $830.44 / $1,242.80	Professional		$702.44	$830.44	$1,242.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.05 / $661.12 / $1,122.24	Professional		$520.05	$661.12	$1,122.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $785.77 / $6,511.02	Facility		$555.00	$785.77	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $508.31 / $973.81 / $2,192.09	Professional		$508.31	$973.81	$2,192.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $12,509.00	Facility		$2,337.00	$5,963.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.42 / $771.73 / $1,984.61	Professional		$493.42	$771.73	$1,984.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $501.76 / $501.76 / $1,701.94	Facility		$501.76	$501.76	$1,701.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $501.76 / $759.83 / $1,288.83	Professional		$501.76	$759.83	$1,288.83