Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.20 / $5,845.00 / $12,793.00	Facility		$591.20	$5,845.00	$12,793.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.37 / $556.84 / $1,103.30	Professional		$425.37	$556.84	$1,103.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.94 / $416.16 / $1,054.03	Professional		$322.94	$416.16	$1,054.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $606.12 / $4,275.50 / $16,534.50	Facility		$606.12	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $606.12 / $606.12 / $606.12	Professional		$606.12	$606.12	$606.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $489.60 / $13,296.25	Facility		$489.60	$489.60	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.45 / $740.34 / $1,684.36	Professional		$412.45	$740.34	$1,684.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $669.00 / $1,174.67	Facility		$332.00	$669.00	$1,174.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $493.33 / $587.54 / $879.31	Professional		$493.33	$587.54	$879.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.13 / $521.74 / $789.29	Professional		$348.13	$521.74	$789.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $597.00 / $13,296.25	Facility		$489.60	$597.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $449.64 / $740.34 / $1,645.66	Professional		$449.64	$740.34	$1,645.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $7,391.00 / $16,403.00	Facility		$2,444.00	$7,391.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.11 / $536.53 / $1,191.97	Professional		$363.11	$536.53	$1,191.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.91 / $575.91 / $1,418.00	Facility		$575.91	$575.91	$1,418.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $348.13 / $575.91 / $913.60	Professional		$348.13	$575.91	$913.60