Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.77 / $4,442.00 / $10,024.00	Facility		$849.77	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.26 / $769.86 / $1,226.53	Professional		$516.26	$769.86	$1,226.53
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 $476.74 / $614.36 / $1,553.07	Professional		$476.74	$614.36	$1,553.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $894.74 / $1,990.00 / $8,917.50	Facility		$894.74	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $894.74 / $894.74 / $894.74	Professional		$894.74	$894.74	$894.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.52 / $721.52 / $5,246.94	Facility		$721.52	$721.52	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.62 / $1,097.58 / $2,480.82	Professional		$549.62	$1,097.58	$2,480.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $560.00 / $1,632.96	Facility		$319.00	$560.00	$1,632.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.76 / $864.58 / $1,293.88	Professional		$725.76	$864.58	$1,293.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.26 / $775.14 / $1,151.35	Professional		$494.26	$775.14	$1,151.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $721.52 / $5,246.94	Facility		$555.00	$721.52	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $649.28 / $1,081.38 / $2,281.07	Professional		$649.28	$1,081.38	$2,281.07
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 $560.46 / $790.65 / $1,978.74	Professional		$560.46	$790.65	$1,978.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $822.40 / $822.40 / $2,185.00	Facility		$822.40	$822.40	$2,185.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $494.26 / $822.40 / $1,343.27	Professional		$494.26	$822.40	$1,343.27