Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.00 / $3,938.00 / $9,038.00	Facility		$839.00	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.61 / $768.90 / $1,224.13	Professional		$512.61	$768.90	$1,224.13
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 $475.70 / $613.02 / $1,548.77	Professional		$475.70	$613.02	$1,548.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $892.77 / $1,716.00 / $6,213.00	Facility		$892.77	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $892.77 / $892.77 / $892.77	Professional		$892.77	$892.77	$892.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.62 / $719.62 / $4,612.43	Facility		$719.62	$719.62	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.55 / $1,089.81 / $2,475.44	Professional		$548.55	$1,089.81	$2,475.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $669.10 / $1,629.77	Facility		$319.00	$669.10	$1,629.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.34 / $862.72 / $1,291.10	Professional		$724.34	$862.72	$1,291.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.11 / $773.48 / $1,148.41	Professional		$497.11	$773.48	$1,148.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $719.62 / $4,612.43	Facility		$555.00	$719.62	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $647.82 / $1,079.27 / $2,276.53	Professional		$647.82	$1,079.27	$2,276.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,114.00 / $8,208.00	Facility		$2,264.00	$4,114.00	$8,208.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.49 / $798.95 / $1,956.91	Professional		$539.49	$798.95	$1,956.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $820.30 / $820.30 / $2,180.02	Facility		$820.30	$820.30	$2,180.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $497.11 / $820.30 / $1,339.84	Professional		$497.11	$820.30	$1,339.84