Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.68 / $5,164.00 / $11,161.00	Facility		$740.68	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.67 / $725.69 / $1,081.26	Professional		$480.67	$725.69	$1,081.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.51 / $548.39 / $1,364.86	Professional		$419.51	$548.39	$1,364.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $778.80 / $2,644.00 / $12,319.50	Facility		$778.80	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $778.80 / $778.80 / $778.80	Professional		$778.80	$778.80	$778.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.49 / $627.49 / $7,289.38	Facility		$627.49	$627.49	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.75 / $958.79 / $2,042.60	Professional		$540.75	$958.79	$2,042.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $939.28 / $1,731.20	Facility		$319.00	$939.28	$1,731.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $744.24 / $1,113.80	Professional		$639.79	$744.24	$1,113.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.25 / $537.16 / $1,011.73	Professional		$450.25	$537.16	$1,011.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $627.49 / $7,289.38	Facility		$555.00	$627.49	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $1,000.27 / $2,076.71	Professional		$571.36	$1,000.27	$2,076.71
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 $542.66 / $760.71 / $1,436.53	Professional		$542.66	$760.71	$1,436.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $631.95 / $631.95 / $1,766.69	Facility		$631.95	$631.95	$1,766.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $486.62 / $667.25 / $1,168.01	Professional		$486.62	$667.25	$1,168.01