Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.85 / $2,626.00 / $7,307.00	Facility		$236.85	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.11 / $671.59 / $1,257.19	Professional		$184.11	$671.59	$1,257.19
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 $549.40 / $713.39 / $1,855.17	Professional		$549.40	$713.39	$1,855.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $226.86 / $1,254.00 / $4,050.00	Facility		$226.86	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $226.86 / $226.86 / $1,109.66	Professional		$226.86	$226.86	$1,109.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.77 / $275.77 / $3,479.91	Facility		$275.77	$275.77	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.39 / $683.18 / $2,350.40	Professional		$186.39	$683.18	$2,350.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $169.24 / $250.00 / $412.40	Facility		$169.24	$250.00	$412.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $753.26 / $968.41 / $1,449.28	Professional		$753.26	$968.41	$1,449.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $868.23 / $1,338.54	Professional		$611.00	$868.23	$1,338.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $275.77 / $555.00 / $3,479.91	Facility		$275.77	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $222.71 / $910.21 / $2,441.21	Professional		$222.71	$910.21	$2,441.21
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 $639.77 / $908.93 / $2,382.88	Professional		$639.77	$908.93	$2,382.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $207.66 / $207.66 / $629.72	Facility		$207.66	$207.66	$629.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $601.99 / $812.69 / $1,338.54	Professional		$601.99	$812.69	$1,338.54