Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.25 / $2,892.00 / $10,686.00	Facility		$288.25	$2,892.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.56 / $748.68 / $1,360.72	Professional		$208.56	$748.68	$1,360.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.29 / $838.24 / $1,979.47	Professional		$500.29	$838.24	$1,979.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $290.43 / $1,254.00 / $4,050.00	Facility		$290.43	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $290.43 / $290.43 / $1,241.99	Professional		$290.43	$290.43	$1,241.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $348.15 / $7,289.38	Facility		$348.15	$348.15	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.95 / $640.59 / $2,112.84	Professional		$217.95	$640.59	$2,112.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $213.82 / $316.75 / $516.11	Facility		$213.82	$316.75	$516.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $785.66 / $1,028.89 / $1,521.00	Professional		$785.66	$1,028.89	$1,521.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.92 / $700.92 / $862.75	Facility		$700.92	$700.92	$862.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.36 / $998.99 / $1,440.55	Professional		$673.36	$998.99	$1,440.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $555.00 / $7,289.38	Facility		$348.15	$555.00	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $247.01 / $1,033.21 / $2,350.34	Professional		$247.01	$1,033.21	$2,350.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.71 / $1,008.71 / $2,251.25	Professional		$684.71	$1,008.71	$2,251.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $244.27 / $244.27 / $859.37	Facility		$244.27	$244.27	$859.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $631.16 / $998.99 / $1,473.87	Professional		$631.16	$998.99	$1,473.87