Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.85 / $4,648.00 / $10,526.00	Facility		$659.85	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.40 / $636.64 / $1,233.10	Professional		$492.40	$636.64	$1,233.10
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 $401.22 / $524.48 / $1,208.21	Professional		$401.22	$524.48	$1,208.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $695.17 / $2,390.00 / $10,957.50	Facility		$695.17	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $695.17 / $695.17 / $695.17	Professional		$695.17	$695.17	$695.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.23 / $560.23 / $6,511.02	Facility		$560.23	$560.23	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.13 / $859.67 / $1,929.53	Professional		$460.13	$859.67	$1,929.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $695.00 / $1,267.97	Facility		$319.00	$695.00	$1,267.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $563.54 / $671.16 / $1,004.43	Professional		$563.54	$671.16	$1,004.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.35 / $559.26 / $901.73	Professional		$402.35	$559.26	$901.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $560.23 / $6,511.02	Facility		$555.00	$560.23	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $504.52 / $839.67 / $1,773.80	Professional		$504.52	$839.67	$1,773.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,406.00 / $4,893.00 / $9,951.00	Facility		$2,406.00	$4,893.00	$9,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.98 / $614.36 / $1,373.83	Professional		$409.98	$614.36	$1,373.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $657.95 / $657.95 / $1,629.85	Facility		$657.95	$657.95	$1,629.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $402.60 / $615.34 / $1,043.75	Professional		$402.60	$615.34	$1,043.75