Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.20 / $4,043.00 / $9,267.00	Facility		$646.20	$4,043.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.56 / $559.98 / $1,257.73	Professional		$435.56	$559.98	$1,257.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.62 / $510.62 / $1,212.11	Professional		$390.62	$510.62	$1,212.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $666.53 / $666.53 / $10,957.50	Facility		$666.53	$666.53	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $666.53 / $666.53	Professional		$666.53	$666.53	$666.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.50 / $540.50 / $7,227.90	Facility		$540.50	$540.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.52 / $894.97 / $1,759.03	Professional		$484.52	$894.97	$1,759.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $633.00 / $1,260.35	Facility		$319.00	$633.00	$1,260.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $550.53 / $629.02 / $969.08	Professional		$550.53	$629.02	$969.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.64 / $441.27 / $863.20	Professional		$382.64	$441.27	$863.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $540.50 / $597.00 / $8,498.00	Facility		$540.50	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $491.00 / $891.77 / $1,846.06	Professional		$491.00	$891.77	$1,846.06
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 $414.41 / $596.63 / $1,436.43	Professional		$414.41	$596.63	$1,436.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $503.27 / $503.27 / $1,726.02	Facility		$503.27	$503.27	$1,726.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.09 / $578.41 / $1,094.57	Professional		$416.09	$578.41	$1,094.57