Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.91 / $4,648.00 / $10,526.00	Facility		$624.91	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.82 / $572.37 / $912.09	Professional		$376.82	$572.37	$912.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.66 / $500.21 / $1,156.83	Professional		$382.66	$500.21	$1,156.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $663.71 / $2,390.00 / $10,957.50	Facility		$663.71	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $663.71 / $663.71 / $663.71	Professional		$663.71	$663.71	$663.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.19 / $535.19 / $6,511.02	Facility		$535.19	$535.19	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.64 / $811.71 / $1,847.59	Professional		$449.64	$811.71	$1,847.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $600.00 / $1,214.33	Facility		$319.00	$600.00	$1,214.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $539.70 / $642.51 / $961.55	Professional		$539.70	$642.51	$961.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.38 / $576.04 / $857.26	Professional		$359.38	$576.04	$857.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $535.19 / $555.00 / $6,511.02	Facility		$535.19	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $491.24 / $804.15 / $1,688.92	Professional		$491.24	$804.15	$1,688.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.06 / $562.91 / $1,466.24	Professional		$390.06	$562.91	$1,466.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $612.33 / $612.33 / $1,620.35	Facility		$612.33	$612.33	$1,620.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $359.38 / $612.33 / $1,000.15	Professional		$359.38	$612.33	$1,000.15