Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.25 / $4,648.00 / $10,526.00	Facility		$707.25	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.55 / $655.90 / $1,076.58	Professional		$483.55	$655.90	$1,076.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.39 / $558.69 / $1,288.98	Professional		$427.39	$558.69	$1,288.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $782.58 / $782.58 / $37,499.62	Facility		$782.58	$782.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $782.58 / $782.58 / $782.58	Professional		$782.58	$782.58	$782.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.14 / $632.14 / $7,227.90	Facility		$632.14	$632.14	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.63 / $901.89 / $1,949.15	Professional		$521.63	$901.89	$1,949.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $848.00 / $1,433.32	Facility		$319.00	$848.00	$1,433.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $647.53 / $777.18 / $1,133.34	Professional		$647.53	$777.18	$1,133.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.82 / $639.83 / $1,024.34	Professional		$417.82	$639.83	$1,024.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $632.14 / $7,227.90	Facility		$555.00	$632.14	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $555.63 / $976.91 / $2,729.81	Professional		$555.63	$976.91	$2,729.81
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 $548.39 / $742.67 / $1,398.41	Professional		$548.39	$742.67	$1,398.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $639.83 / $639.83 / $1,644.92	Facility		$639.83	$639.83	$1,644.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $417.82 / $678.97 / $1,182.58	Professional		$417.82	$678.97	$1,182.58