Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.23 / $3,996.00 / $9,038.00	Facility		$612.23	$3,996.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.41 / $527.38 / $993.00	Professional		$436.41	$527.38	$993.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $4,233.00 / $9,153.00	Facility		$2,402.00	$4,233.00	$9,153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.64 / $558.38 / $1,122.48	Professional		$449.64	$558.38	$1,122.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.96 / $645.96 / $37,499.62	Facility		$645.96	$645.96	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.96 / $645.96 / $645.96	Professional		$645.96	$645.96	$645.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.58 / $529.58 / $7,227.90	Facility		$529.58	$529.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.76 / $805.50 / $1,734.76	Professional		$501.76	$805.50	$1,734.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $499.63 / $1,263.56	Facility		$319.00	$499.63	$1,263.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.59 / $619.99 / $971.53	Professional		$549.59	$619.99	$971.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.98 / $502.07 / $844.85	Professional		$375.98	$502.07	$844.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $529.58 / $555.00 / $7,227.90	Facility		$529.58	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $541.28 / $870.68 / $1,809.90	Professional		$541.28	$870.68	$1,809.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.96 / $601.27 / $1,452.44	Professional		$443.96	$601.27	$1,452.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $502.07 / $502.07 / $1,448.66	Facility		$502.07	$502.07	$1,448.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $388.63 / $555.85 / $975.35	Professional		$388.63	$555.85	$975.35