Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.24 / $4,648.00 / $10,296.00	Facility		$855.24	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.51 / $843.16 / $1,477.84	Professional		$527.51	$843.16	$1,477.84
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 $514.30 / $662.78 / $1,630.91	Professional		$514.30	$662.78	$1,630.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $981.59 / $2,390.00 / $10,957.50	Facility		$981.59	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $981.59 / $981.59 / $981.59	Professional		$981.59	$981.59	$981.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.17 / $782.17 / $6,511.02	Facility		$782.17	$782.17	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.26 / $1,115.99 / $2,494.34	Professional		$536.26	$1,115.99	$2,494.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $734.82 / $1,797.41	Facility		$319.00	$734.82	$1,797.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $798.85 / $931.68 / $1,394.31	Professional		$798.85	$931.68	$1,394.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.05 / $754.81 / $1,281.28	Professional		$536.05	$754.81	$1,281.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $782.17 / $6,511.02	Facility		$555.00	$782.17	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $590.50 / $1,115.99 / $2,494.34	Professional		$590.50	$1,115.99	$2,494.34
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 $557.07 / $819.23 / $1,864.44	Professional		$557.07	$819.23	$1,864.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $754.81 / $754.81 / $2,037.15	Facility		$754.81	$754.81	$2,037.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $536.05 / $794.44 / $1,641.64	Professional		$536.05	$794.44	$1,641.64