Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.30 / $5,164.00 / $11,161.00	Facility		$740.30	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.07 / $699.56 / $1,154.34	Professional		$514.07	$699.56	$1,154.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.18 / $588.48 / $1,417.30	Professional		$450.18	$588.48	$1,417.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $832.13 / $2,644.00 / $12,319.50	Facility		$832.13	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $832.13 / $832.13 / $832.13	Professional		$832.13	$832.13	$832.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.78 / $670.78 / $7,289.38	Facility		$670.78	$670.78	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.27 / $962.79 / $2,116.56	Professional		$567.27	$962.79	$2,116.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,003.52 / $2,008.00	Facility		$319.00	$1,003.52	$2,008.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $683.05 / $795.14 / $1,189.96	Professional		$683.05	$795.14	$1,189.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.95 / $675.05 / $1,080.73	Professional		$480.95	$675.05	$1,080.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $670.78 / $7,289.38	Facility		$555.00	$670.78	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $592.86 / $1,047.05 / $2,185.54	Professional		$592.86	$1,047.05	$2,185.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.37 / $805.52 / $1,534.72	Professional		$556.37	$805.52	$1,534.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $675.05 / $675.05 / $1,813.83	Facility		$675.05	$675.05	$1,813.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $508.20 / $710.82 / $1,247.67	Professional		$508.20	$710.82	$1,247.67