Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.29 / $5,224.00 / $11,880.00	Facility		$722.29	$5,224.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.03 / $722.29 / $1,131.47	Professional		$469.03	$722.29	$1,131.47
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 $414.91 / $534.67 / $1,358.83	Professional		$414.91	$534.67	$1,358.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $782.52 / $2,644.00 / $12,319.50	Facility		$782.52	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $782.52 / $782.52 / $782.52	Professional		$782.52	$782.52	$782.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.04 / $632.04 / $7,289.38	Facility		$632.04	$632.04	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.39 / $984.90 / $2,171.09	Professional		$531.39	$984.90	$2,171.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $809.00 / $1,506.40	Facility		$319.00	$809.00	$1,506.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.48 / $751.29 / $1,158.25	Professional		$660.48	$751.29	$1,158.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.68 / $667.14 / $1,007.79	Professional		$393.68	$667.14	$1,007.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $632.04 / $7,289.38	Facility		$555.00	$632.04	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $586.97 / $979.74 / $2,143.39	Professional		$586.97	$979.74	$2,143.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.68 / $723.36 / $1,767.95	Professional		$463.68	$723.36	$1,767.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $735.35 / $735.35 / $1,767.87	Facility		$735.35	$735.35	$1,767.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $393.68 / $735.35 / $1,166.52	Professional		$393.68	$735.35	$1,166.52