Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.87 / $4,792.00 / $11,220.00	Facility		$705.87	$4,792.00	$11,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.91 / $689.15 / $1,030.60	Professional		$540.91	$689.15	$1,030.60
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 $400.88 / $516.60 / $1,308.43	Professional		$400.88	$516.60	$1,308.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $751.69 / $2,390.00 / $10,957.50	Facility		$751.69	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $751.69 / $751.69 / $751.69	Professional		$751.69	$751.69	$751.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.82 / $605.82 / $6,511.02	Facility		$605.82	$605.82	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.69 / $919.49 / $2,088.29	Professional		$461.69	$919.49	$2,088.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $563.54 / $1,372.12	Facility		$319.00	$563.54	$1,372.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $609.83 / $726.19 / $1,086.78	Professional		$609.83	$726.19	$1,086.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.48 / $644.85 / $975.99	Professional		$435.48	$644.85	$975.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $605.82 / $6,511.02	Facility		$555.00	$605.82	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $545.60 / $908.65 / $1,919.89	Professional		$545.60	$908.65	$1,919.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,406.00 / $4,893.00 / $10,167.24	Facility		$2,406.00	$4,893.00	$10,167.24
United Facility/Professional Professional Modifier Low / Median / High Price $429.20 / $664.92 / $1,649.62	Professional		$429.20	$664.92	$1,649.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $712.14 / $712.14 / $1,700.50	Facility		$712.14	$712.14	$1,700.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $445.29 / $712.14 / $1,129.71	Professional		$445.29	$712.14	$1,129.71