Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.31 / $3,419.00 / $7,521.00	Facility		$720.31	$3,419.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.67 / $647.64 / $1,005.26	Professional		$440.67	$647.64	$1,005.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.93 / $565.92 / $1,273.81	Professional		$432.93	$565.92	$1,273.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $745.96 / $745.96 / $4,050.00	Facility		$745.96	$745.96	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $745.96 / $745.96 / $745.96	Professional		$745.96	$745.96	$745.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.11 / $600.11 / $3,479.91	Facility		$600.11	$600.11	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.87 / $918.72 / $2,050.09	Professional		$512.87	$918.72	$2,050.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $884.47 / $1,441.60	Facility		$319.00	$884.47	$1,441.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $594.83 / $712.49 / $1,066.27	Professional		$594.83	$712.49	$1,066.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.79 / $576.26 / $949.13	Professional		$420.79	$576.26	$949.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $600.11 / $3,479.91	Facility		$555.00	$600.11	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $535.88 / $909.07 / $1,912.18	Professional		$535.88	$909.07	$1,912.18
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 $454.29 / $666.31 / $1,644.50	Professional		$454.29	$666.31	$1,644.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $677.95 / $677.95 / $1,906.20	Facility		$677.95	$677.95	$1,906.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $420.79 / $652.83 / $1,107.33	Professional		$420.79	$652.83	$1,107.33