Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.75 / $3,731.00 / $8,134.00	Facility		$808.75	$3,731.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.62 / $707.40 / $1,097.47	Professional		$477.62	$707.40	$1,097.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.00 / $618.30 / $1,393.16	Professional		$473.00	$618.30	$1,393.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $813.00 / $6,213.00	Facility		$813.00	$813.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $813.00 / $813.00 / $813.00	Professional		$813.00	$813.00	$813.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $653.80 / $653.80 / $3,479.91	Facility		$653.80	$653.80	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.39 / $1,002.59 / $2,239.89	Professional		$537.39	$1,002.59	$2,239.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $972.90 / $1,595.20	Facility		$319.00	$972.90	$1,595.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $649.39 / $777.43 / $1,163.47	Professional		$649.39	$777.43	$1,163.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.78 / $697.01 / $1,036.57	Professional		$461.78	$697.01	$1,036.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $653.80 / $3,479.91	Facility		$555.00	$653.80	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $597.44 / $992.88 / $2,087.28	Professional		$597.44	$992.88	$2,087.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.86 / $716.28 / $1,616.61	Professional		$467.86	$716.28	$1,616.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $740.41 / $740.41 / $2,072.44	Facility		$740.41	$740.41	$2,072.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $461.78 / $740.41 / $1,209.34	Professional		$461.78	$740.41	$1,209.34