Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.64 / $3,996.00 / $10,296.00	Facility		$783.64	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.58 / $815.38 / $1,252.81	Professional		$496.58	$815.38	$1,252.81
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 $518.45 / $677.72 / $1,583.52	Professional		$518.45	$677.72	$1,583.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $917.31 / $917.31 / $6,213.00	Facility		$917.31	$917.31	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $917.31 / $917.31 / $917.31	Professional		$917.31	$917.31	$917.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.85 / $736.85 / $7,227.90	Facility		$736.85	$736.85	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.21 / $1,149.61 / $2,544.80	Professional		$563.21	$1,149.61	$2,544.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $855.00 / $1,667.95	Facility		$319.00	$855.00	$1,667.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $883.08 / $1,321.57	Professional		$741.31	$883.08	$1,321.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.15 / $791.73 / $1,176.18	Professional		$505.15	$791.73	$1,176.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $736.85 / $7,227.90	Facility		$555.00	$736.85	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $665.59 / $1,104.55 / $2,338.60	Professional		$665.59	$1,104.55	$2,338.60
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 $563.13 / $810.00 / $1,941.78	Professional		$563.13	$810.00	$1,941.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $840.12 / $840.12 / $2,385.76	Facility		$840.12	$840.12	$2,385.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $505.15 / $840.12 / $1,372.22	Professional		$505.15	$840.12	$1,372.22