Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.14 / $3,213.00 / $7,521.00	Facility		$666.14	$3,213.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.00 / $598.64 / $928.17	Professional		$404.00	$598.64	$928.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.15 / $523.08 / $1,179.98	Professional		$400.15	$523.08	$1,179.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $689.69 / $689.69 / $4,050.00	Facility		$689.69	$689.69	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $689.69 / $689.69 / $689.69	Professional		$689.69	$689.69	$689.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.42 / $555.42 / $3,479.91	Facility		$555.42	$555.42	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.79 / $853.99 / $1,895.78	Professional		$472.79	$853.99	$1,895.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $817.16 / $1,323.20	Facility		$319.00	$817.16	$1,323.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.21 / $658.27 / $985.14	Professional		$549.21	$658.27	$985.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.34 / $590.17 / $878.40	Professional		$387.34	$590.17	$878.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.42 / $3,479.91	Facility		$555.00	$555.42	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $495.02 / $853.99 / $1,767.82	Professional		$495.02	$853.99	$1,767.82
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 $395.68 / $589.03 / $1,529.92	Professional		$395.68	$589.03	$1,529.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $627.42 / $627.42 / $1,746.87	Facility		$627.42	$627.42	$1,746.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $387.34 / $627.42 / $1,024.81	Professional		$387.34	$627.42	$1,024.81