Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.90 / $3,659.00 / $9,038.00	Facility		$646.90	$3,659.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.16 / $646.90 / $966.77	Professional		$509.16	$646.90	$966.77
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 $375.42 / $483.79 / $1,227.83	Professional		$375.42	$483.79	$1,227.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $706.30 / $1,254.00 / $4,050.00	Facility		$706.30	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $706.30 / $706.30 / $706.30	Professional		$706.30	$706.30	$706.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $3,479.91	Facility		$569.66	$569.66	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.36 / $860.83 / $1,959.44	Professional		$433.36	$860.83	$1,959.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $846.22 / $1,396.80	Facility		$319.00	$846.22	$1,396.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $581.48 / $697.90 / $1,020.16	Professional		$581.48	$697.90	$1,020.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.89 / $721.63 / $1,009.17	Professional		$408.89	$721.63	$1,009.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $569.66 / $3,479.91	Facility		$555.00	$569.66	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.30 / $852.35 / $1,979.48	Professional		$512.30	$852.35	$1,979.48
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 $382.69 / $600.46 / $1,310.75	Professional		$382.69	$600.46	$1,310.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $668.66 / $668.66 / $1,756.94	Facility		$668.66	$668.66	$1,756.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $408.89 / $721.63 / $1,278.34	Professional		$408.89	$721.63	$1,278.34