Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.33 / $4,106.00 / $10,170.00	Facility		$786.33	$4,106.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.08 / $649.15 / $1,373.67	Professional		$503.08	$649.15	$1,373.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,007.00 / $16,083.00	Facility		$4,583.00	$8,007.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.74 / $577.45 / $1,340.03	Professional		$441.74	$577.45	$1,340.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $765.05 / $2,390.00 / $10,957.50	Facility		$765.05	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $765.05 / $765.05 / $765.05	Professional		$765.05	$765.05	$765.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.88 / $620.88 / $6,511.02	Facility		$620.88	$620.88	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.93 / $965.04 / $1,986.24	Professional		$421.93	$965.04	$1,986.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $648.00 / $1,404.43	Facility		$319.00	$648.00	$1,404.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $624.19 / $736.22 / $1,101.80	Professional		$624.19	$736.22	$1,101.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.16 / $589.41 / $1,000.52	Professional		$449.16	$589.41	$1,000.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $620.88 / $8,498.00	Facility		$597.00	$620.88	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $555.91 / $965.04 / $1,986.24	Professional		$555.91	$965.04	$1,986.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.09 / $679.93 / $1,538.35	Professional		$463.09	$679.93	$1,538.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $589.41 / $589.41 / $1,738.27	Facility		$589.41	$589.41	$1,738.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $469.64 / $589.41 / $1,149.05	Professional		$469.64	$589.41	$1,149.05