Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.40 / $4,648.00 / $10,526.00	Facility		$798.40	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.59 / $731.05 / $1,152.97	Professional		$472.59	$731.05	$1,152.97
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 $484.51 / $633.35 / $1,453.75	Professional		$484.51	$633.35	$1,453.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $840.80 / $2,390.00 / $10,957.50	Facility		$840.80	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $840.80 / $840.80 / $840.80	Professional		$840.80	$840.80	$840.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.62 / $677.62 / $6,511.02	Facility		$677.62	$677.62	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.20 / $1,030.82 / $2,333.17	Professional		$562.20	$1,030.82	$2,333.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $750.00 / $1,535.02	Facility		$319.00	$750.00	$1,535.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $682.23 / $812.55 / $1,216.02	Professional		$682.23	$812.55	$1,216.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.74 / $728.49 / $1,082.16	Professional		$459.74	$728.49	$1,082.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $677.62 / $6,511.02	Facility		$555.00	$677.62	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $610.27 / $1,016.52 / $2,145.23	Professional		$610.27	$1,016.52	$2,145.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,114.00 / $7,939.00	Facility		$2,264.00	$4,114.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.71 / $744.78 / $1,860.88	Professional		$526.71	$744.78	$1,860.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $772.97 / $772.97 / $2,051.15	Facility		$772.97	$772.97	$2,051.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $459.74 / $772.97 / $1,262.54	Professional		$459.74	$772.97	$1,262.54