Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.89 / $5,164.00 / $11,161.00	Facility		$793.89	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.89 / $714.98 / $1,126.52	Professional		$516.89	$714.98	$1,126.52
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 $504.26 / $659.17 / $1,431.85	Professional		$504.26	$659.17	$1,431.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $823.10 / $4,275.50 / $16,534.50	Facility		$823.10	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $823.10 / $823.10 / $823.10	Professional		$823.10	$823.10	$823.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.94 / $662.94 / $7,227.90	Facility		$662.94	$662.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.27 / $1,008.18 / $2,281.61	Professional		$554.27	$1,008.18	$2,281.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $985.84 / $1,675.20	Facility		$319.00	$985.84	$1,675.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $666.58 / $794.15 / $1,188.49	Professional		$666.58	$794.15	$1,188.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.62 / $712.00 / $1,057.61	Professional		$456.62	$712.00	$1,057.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $662.94 / $7,227.90	Facility		$555.00	$662.94	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $993.20 / $2,300.06	Professional		$600.00	$993.20	$2,300.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.86 / $735.24 / $2,032.53	Professional		$504.86	$735.24	$2,032.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $755.44 / $755.44 / $2,044.80	Facility		$755.44	$755.44	$2,044.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $456.62 / $755.44 / $1,233.91	Professional		$456.62	$755.44	$1,233.91