Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.16 / $3,938.00 / $9,038.00	Facility		$628.16	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.35 / $544.84 / $962.00	Professional		$430.35	$544.84	$962.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,113.00 / $8,836.00	Facility		$2,393.00	$4,113.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $463.37 / $1,155.10	Professional		$354.47	$463.37	$1,155.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $1,716.00 / $6,213.00	Facility		$687.60	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $687.60 / $687.60 / $687.60	Professional		$687.60	$687.60	$687.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.92 / $563.92 / $4,612.43	Facility		$563.92	$563.92	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.59 / $758.63 / $1,568.10	Professional		$442.59	$758.63	$1,568.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $684.00 / $1,280.77	Facility		$332.00	$684.00	$1,280.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.30 / $694.46 / $1,027.76	Professional		$512.30	$694.46	$1,027.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.71 / $487.21 / $917.66	Professional		$399.71	$487.21	$917.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $563.92 / $563.92 / $4,612.43	Facility		$563.92	$563.92	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $455.32 / $755.18 / $1,668.52	Professional		$455.32	$755.18	$1,668.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,111.00 / $10,452.00	Facility		$2,062.00	$5,111.00	$10,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.19 / $634.71 / $1,219.29	Professional		$432.19	$634.71	$1,219.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $573.19 / $573.19 / $1,447.20	Facility		$573.19	$573.19	$1,447.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $399.71 / $692.80 / $1,269.50	Professional		$399.71	$692.80	$1,269.50