Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.63 / $4,640.82 / $10,526.00	Facility		$909.63	$4,640.82	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.73 / $909.63 / $1,508.03	Professional		$714.73	$909.63	$1,508.03
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 $575.11 / $751.78 / $1,717.83	Professional		$575.11	$751.78	$1,717.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $993.94 / $2,390.00 / $10,957.50	Facility		$993.94	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $993.94 / $993.94 / $993.94	Professional		$993.94	$993.94	$993.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.43 / $799.43 / $6,511.02	Facility		$799.43	$799.43	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.25 / $1,214.56 / $2,753.17	Professional		$609.25	$1,214.56	$2,753.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,170.00 / $1,872.00	Facility		$319.00	$1,170.00	$1,872.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $801.35 / $955.77 / $1,430.36	Professional		$801.35	$955.77	$1,430.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $848.71 / $1,284.10	Professional		$572.96	$848.71	$1,284.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $799.43 / $6,511.02	Facility		$555.00	$799.43	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $722.47 / $1,194.01 / $2,539.09	Professional		$722.47	$1,194.01	$2,539.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.79 / $859.67 / $2,201.48	Professional		$567.79	$859.67	$2,201.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $936.96 / $936.96 / $2,336.94	Facility		$936.96	$936.96	$2,336.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $586.28 / $936.96 / $1,486.35	Professional		$586.28	$936.96	$1,486.35