Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.40 / $3,317.00 / $7,521.00	Facility		$764.40	$3,317.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.07 / $688.84 / $1,396.89	Professional		$496.07	$688.84	$1,396.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.28 / $600.37 / $1,349.25	Professional		$459.28	$600.37	$1,349.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $791.09 / $791.09 / $4,050.00	Facility		$791.09	$791.09	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $791.09 / $791.09 / $791.09	Professional		$791.09	$791.09	$791.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.94 / $635.94 / $7,227.90	Facility		$635.94	$635.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $974.09 / $2,173.86	Professional		$525.00	$974.09	$2,173.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $937.28 / $1,526.40	Facility		$319.00	$937.28	$1,526.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.36 / $755.03 / $1,129.94	Professional		$630.36	$755.03	$1,129.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.35 / $676.93 / $1,005.75	Professional		$445.35	$676.93	$1,005.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $635.94 / $7,227.90	Facility		$555.00	$635.94	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $568.35 / $967.47 / $2,027.67	Professional		$568.35	$967.47	$2,027.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.23 / $706.76 / $1,754.92	Professional		$487.23	$706.76	$1,754.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $718.39 / $718.39 / $2,006.02	Facility		$718.39	$718.39	$2,006.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $445.35 / $718.39 / $1,173.39	Professional		$445.35	$718.39	$1,173.39