Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.19 / $4,648.00 / $10,526.00	Facility		$776.19	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.13 / $704.06 / $1,123.55	Professional		$466.13	$704.06	$1,123.55
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 $471.85 / $616.79 / $1,423.01	Professional		$471.85	$616.79	$1,423.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $819.04 / $2,390.00 / $10,957.50	Facility		$819.04	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $819.04 / $819.04 / $819.04	Professional		$819.04	$819.04	$819.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.54 / $660.54 / $6,511.02	Facility		$660.54	$660.54	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.69 / $1,000.35 / $2,272.69	Professional		$547.69	$1,000.35	$2,272.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $944.00 / $1,510.40	Facility		$319.00	$944.00	$1,510.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $664.82 / $791.76 / $1,184.91	Professional		$664.82	$791.76	$1,184.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.10 / $640.37 / $1,054.73	Professional		$445.10	$640.37	$1,054.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $660.54 / $6,511.02	Facility		$555.00	$660.54	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $594.54 / $990.58 / $2,088.96	Professional		$594.54	$990.58	$2,088.96
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 $467.94 / $673.70 / $1,611.24	Professional		$467.94	$673.70	$1,611.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $753.38 / $753.38 / $1,998.21	Facility		$753.38	$753.38	$1,998.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $445.10 / $725.46 / $1,230.54	Professional		$445.10	$725.46	$1,230.54