Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.64 / $4,409.00 / $10,024.00	Facility		$776.64	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.28 / $761.06 / $1,506.34	Professional		$586.28	$761.06	$1,506.34
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 $444.78 / $573.17 / $1,451.66	Professional		$444.78	$573.17	$1,451.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.82 / $1,990.00 / $8,917.50	Facility		$831.82	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $831.82 / $831.82 / $831.82	Professional		$831.82	$831.82	$831.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $668.71 / $668.71 / $5,246.94	Facility		$668.71	$668.71	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.57 / $1,022.23 / $2,305.88	Professional		$509.57	$1,022.23	$2,305.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $665.00 / $1,511.55	Facility		$319.00	$665.00	$1,511.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $671.80 / $800.52 / $1,198.01	Professional		$671.80	$800.52	$1,198.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.56 / $710.86 / $1,075.08	Professional		$482.56	$710.86	$1,075.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $668.71 / $5,246.94	Facility		$555.00	$668.71	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $604.47 / $1,000.98 / $2,271.16	Professional		$604.47	$1,000.98	$2,271.16
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 $475.08 / $720.12 / $1,825.93	Professional		$475.08	$720.12	$1,825.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $784.45 / $784.45 / $1,996.10	Facility		$784.45	$784.45	$1,996.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $487.21 / $784.45 / $1,244.42	Professional		$487.21	$784.45	$1,244.42