Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,700.00 / $11,268.87	Facility		$1,819.00	$5,700.00	$11,268.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.45 / $688.81 / $882.33	Professional		$570.45	$688.81	$882.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.19 / $527.72 / $1,090.33	Professional		$416.19	$527.72	$1,090.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $797.14 / $2,390.00 / $16,534.50	Facility		$797.14	$2,390.00	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $797.14 / $797.14 / $797.14	Professional		$797.14	$797.14	$797.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.54 / $627.54 / $6,511.02	Facility		$627.54	$627.54	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.77 / $972.43 / $2,204.88	Professional		$511.77	$972.43	$2,204.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $1,190.97 / $2,501.04	Facility		$294.00	$1,190.97	$2,501.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.97 / $1,607.81 / $2,584.40	Professional		$1,190.97	$1,607.81	$2,584.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.06 / $668.02 / $1,010.27	Professional		$415.06	$668.02	$1,010.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $627.54 / $6,511.02	Facility		$555.00	$627.54	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $563.41 / $1,051.20 / $2,340.96	Professional		$563.41	$1,051.20	$2,340.96
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 $496.19 / $853.24 / $1,868.27	Professional		$496.19	$853.24	$1,868.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $737.15 / $737.15 / $1,830.44	Facility		$737.15	$737.15	$1,830.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $415.06 / $737.15 / $1,169.39	Professional		$415.06	$737.15	$1,169.39