Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.87 / $4,648.00 / $10,526.00	Facility		$922.87	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.19 / $889.43 / $1,325.74	Professional		$668.19	$889.43	$1,325.74
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 $560.20 / $732.29 / $1,665.34	Professional		$560.20	$732.29	$1,665.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $971.63 / $971.63 / $10,957.50	Facility		$971.63	$971.63	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $971.63 / $971.63 / $971.63	Professional		$971.63	$971.63	$971.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.18 / $782.18 / $7,227.90	Facility		$782.18	$782.18	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.20 / $1,222.56 / $2,691.59	Professional		$646.20	$1,222.56	$2,691.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $960.00 / $1,765.04	Facility		$319.00	$960.00	$1,765.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $784.46 / $935.35 / $1,399.80	Professional		$784.46	$935.35	$1,399.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.71 / $779.38 / $1,256.64	Professional		$560.71	$779.38	$1,256.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $782.18 / $7,227.90	Facility		$555.00	$782.18	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $705.13 / $1,183.69 / $2,532.94	Professional		$705.13	$1,183.69	$2,532.94
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 $545.10 / $857.99 / $2,129.38	Professional		$545.10	$857.99	$2,129.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $916.92 / $916.92 / $2,277.48	Facility		$916.92	$916.92	$2,277.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $564.95 / $857.53 / $1,454.56	Professional		$564.95	$857.53	$1,454.56