Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.34 / $3,659.00 / $9,038.00	Facility		$666.34	$3,659.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.15 / $678.44 / $1,015.25	Professional		$505.15	$678.44	$1,015.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $4,120.00 / $8,836.00	Facility		$2,402.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.56 / $505.88 / $1,277.70	Professional		$392.56	$505.88	$1,277.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $739.38 / $739.38 / $37,499.62	Facility		$739.38	$739.38	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $739.38 / $739.38 / $739.38	Professional		$739.38	$739.38	$739.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.69 / $596.69 / $7,227.90	Facility		$596.69	$596.69	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.73 / $955.78 / $2,055.17	Professional		$487.73	$955.78	$2,055.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $641.32 / $1,351.67	Facility		$319.00	$641.32	$1,351.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $600.74 / $715.31 / $1,070.50	Professional		$600.74	$715.31	$1,070.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.01 / $596.57 / $961.88	Professional		$411.01	$596.57	$961.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $596.69 / $7,227.90	Facility		$555.00	$596.69	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $548.79 / $895.10 / $1,883.03	Professional		$548.79	$895.10	$1,883.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.74 / $636.75 / $1,405.72	Professional		$414.74	$636.75	$1,405.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $701.85 / $701.85 / $1,792.05	Facility		$701.85	$701.85	$1,792.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $411.01 / $656.39 / $1,113.38	Professional		$411.01	$656.39	$1,113.38