Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.29 / $3,978.00 / $9,038.00	Facility		$649.29	$3,978.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.39 / $627.49 / $1,107.77	Professional		$456.39	$627.49	$1,107.77
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 $386.73 / $498.37 / $1,215.45	Professional		$386.73	$498.37	$1,215.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $730.30 / $1,716.00 / $6,213.00	Facility		$730.30	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $730.30 / $730.30 / $730.30	Professional		$730.30	$730.30	$730.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.09 / $583.09 / $4,612.43	Facility		$583.09	$583.09	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.22 / $836.47 / $1,855.82	Professional		$399.22	$836.47	$1,855.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $550.41 / $1,347.05	Facility		$319.00	$550.41	$1,347.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $598.69 / $697.39 / $1,043.68	Professional		$598.69	$697.39	$1,043.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.22 / $562.77 / $955.29	Professional		$408.22	$562.77	$955.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $583.09 / $4,612.43	Facility		$555.00	$583.09	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $836.47 / $1,860.82	Professional		$500.00	$836.47	$1,860.82
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 $409.40 / $611.42 / $1,533.14	Professional		$409.40	$611.42	$1,533.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $562.77 / $562.77 / $1,544.35	Facility		$562.77	$562.77	$1,544.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $408.22 / $646.79 / $1,223.97	Professional		$408.22	$646.79	$1,223.97