Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.52 / $4,629.00 / $10,321.00	Facility		$761.52	$4,629.00	$10,321.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.04 / $736.40 / $1,426.48	Professional		$539.04	$736.40	$1,426.48
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 $426.59 / $549.74 / $1,393.96	Professional		$426.59	$549.74	$1,393.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $802.45 / $2,390.00 / $10,957.50	Facility		$802.45	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $802.45 / $802.45 / $802.45	Professional		$802.45	$802.45	$802.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.38 / $647.38 / $6,511.02	Facility		$647.38	$647.38	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.84 / $976.57 / $2,227.48	Professional		$493.84	$976.57	$2,227.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $600.84 / $1,462.52	Facility		$319.00	$600.84	$1,462.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $650.01 / $774.75 / $1,159.45	Professional		$650.01	$774.75	$1,159.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.98 / $687.97 / $1,042.10	Professional		$464.98	$687.97	$1,042.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $647.38 / $6,511.02	Facility		$555.00	$647.38	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $582.98 / $968.51 / $2,047.73	Professional		$582.98	$968.51	$2,047.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,181.00 / $9,996.59	Facility		$2,062.00	$5,181.00	$9,996.59
United Facility/Professional Professional Modifier Low / Median / High Price $434.89 / $690.55 / $1,579.43	Professional		$434.89	$690.55	$1,579.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $760.38 / $760.38 / $1,873.49	Facility		$760.38	$760.38	$1,873.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $465.03 / $760.38 / $1,206.24	Professional		$465.03	$760.38	$1,206.24