Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.02 / $4,043.00 / $10,170.00	Facility		$647.02	$4,043.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.45 / $540.27 / $1,076.75	Professional		$441.45	$540.27	$1,076.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.43 / $467.05 / $1,187.33	Professional		$362.43	$467.05	$1,187.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $692.70 / $1,716.00 / $6,213.00	Facility		$692.70	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $692.70 / $692.70 / $692.70	Professional		$692.70	$692.70	$692.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.44 / $562.44 / $4,612.43	Facility		$562.44	$562.44	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.24 / $824.77 / $1,844.50	Professional		$406.24	$824.77	$1,844.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $332.00 / $1,343.36	Facility		$100.00	$332.00	$1,343.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $590.66 / $671.57 / $1,032.90	Professional		$590.66	$671.57	$1,032.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.85 / $528.37 / $979.34	Professional		$401.85	$528.37	$979.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $562.44 / $4,612.43	Facility		$555.00	$562.44	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $415.52 / $850.33 / $1,829.08	Professional		$415.52	$850.33	$1,829.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.46 / $644.37 / $1,450.41	Professional		$433.46	$644.37	$1,450.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $528.37 / $528.37 / $1,439.55	Facility		$528.37	$528.37	$1,439.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.87 / $614.58 / $1,163.00	Professional		$407.87	$614.58	$1,163.00