Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.86 / $3,659.00 / $9,038.00	Facility		$629.86	$3,659.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.97 / $533.60 / $1,064.80	Professional		$470.97	$533.60	$1,064.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.42 / $556.11 / $1,321.67	Professional		$425.42	$556.11	$1,321.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $725.15 / $725.15 / $8,917.50	Facility		$725.15	$725.15	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $725.15 / $725.15 / $725.15	Professional		$725.15	$725.15	$725.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.97 / $594.97 / $3,479.91	Facility		$594.97	$594.97	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.36 / $887.53 / $1,964.66	Professional		$567.36	$887.53	$1,964.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $332.00 / $1,417.64	Facility		$150.00	$332.00	$1,417.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $611.39 / $688.87 / $1,090.00	Professional		$611.39	$688.87	$1,090.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $489.11 / $952.60	Professional		$327.50	$489.11	$952.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $594.97 / $3,479.91	Facility		$555.00	$594.97	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $863.03 / $1,862.13	Professional		$600.00	$863.03	$1,862.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $704.86 / $1,692.97	Professional		$475.08	$704.86	$1,692.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $554.49 / $554.49 / $1,615.36	Facility		$554.49	$554.49	$1,615.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $554.49 / $1,077.19	Professional		$327.50	$554.49	$1,077.19