Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.99 / $4,039.00 / $10,170.00	Facility		$530.99	$4,039.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.22 / $621.48 / $1,295.89	Professional		$434.22	$621.48	$1,295.89
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 $425.67 / $556.44 / $1,374.72	Professional		$425.67	$556.44	$1,374.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.67 / $2,390.00 / $10,957.50	Facility		$602.67	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.67 / $602.67 / $850.48	Professional		$602.67	$602.67	$850.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.87 / $663.87 / $6,511.02	Facility		$663.87	$663.87	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.67 / $812.16 / $1,844.42	Professional		$360.67	$812.16	$1,844.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $475.00 / $1,003.70	Facility		$319.00	$475.00	$1,003.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $599.41 / $711.01 / $1,064.06	Professional		$599.41	$711.01	$1,064.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.58 / $562.62 / $955.04	Professional		$447.58	$562.62	$955.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $663.87 / $6,511.02	Facility		$555.00	$663.87	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $420.26 / $833.84 / $1,942.95	Professional		$420.26	$833.84	$1,942.95
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 $460.04 / $711.67 / $1,637.82	Professional		$460.04	$711.67	$1,637.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $420.05 / $420.05 / $1,497.61	Facility		$420.05	$420.05	$1,497.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.81 / $646.63 / $1,096.82	Professional		$422.81	$646.63	$1,096.82