Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.22 / $3,419.00 / $7,521.00	Facility		$823.22	$3,419.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.41 / $741.88 / $1,507.04	Professional		$534.41	$741.88	$1,507.04
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 $494.58 / $646.52 / $1,454.82	Professional		$494.58	$646.52	$1,454.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $853.05 / $853.05 / $4,050.00	Facility		$853.05	$853.05	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $853.05 / $853.05 / $853.05	Professional		$853.05	$853.05	$853.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.57 / $685.57 / $7,227.90	Facility		$685.57	$685.57	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.29 / $1,049.95 / $2,344.01	Professional		$559.29	$1,049.95	$2,344.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,008.90 / $1,646.40	Facility		$319.00	$1,008.90	$1,646.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $677.93 / $812.73 / $1,216.29	Professional		$677.93	$812.73	$1,216.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.65 / $728.65 / $1,083.92	Professional		$479.65	$728.65	$1,083.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $685.57 / $7,227.90	Facility		$555.00	$685.57	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $623.83 / $1,029.58 / $2,183.46	Professional		$623.83	$1,029.58	$2,183.46
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 $488.42 / $678.87 / $1,571.91	Professional		$488.42	$678.87	$1,571.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $774.23 / $774.23 / $2,165.15	Facility		$774.23	$774.23	$2,165.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $479.65 / $774.23 / $1,264.59	Professional		$479.65	$774.23	$1,264.59