Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,978.00 / $9,038.00	Facility		$645.00	$3,978.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.88 / $590.78 / $1,022.80	Professional		$475.88	$590.78	$1,022.80
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 $394.47 / $515.66 / $1,240.13	Professional		$394.47	$515.66	$1,240.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $694.11 / $694.11 / $37,499.62	Facility		$694.11	$694.11	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $694.11 / $694.11 / $694.11	Professional		$694.11	$694.11	$694.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.66 / $570.66 / $7,227.90	Facility		$570.66	$570.66	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.88 / $903.20 / $1,869.59	Professional		$547.88	$903.20	$1,869.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $925.00 / $1,480.00	Facility		$319.00	$925.00	$1,480.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $590.11 / $665.39 / $1,047.01	Professional		$590.11	$665.39	$1,047.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $539.00 / $903.51	Professional		$402.08	$539.00	$903.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $570.66 / $7,227.90	Facility		$555.00	$570.66	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $580.34 / $886.40 / $1,869.59	Professional		$580.34	$886.40	$1,869.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.14 / $679.17 / $1,592.97	Professional		$473.14	$679.17	$1,592.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $536.92 / $536.92 / $1,674.51	Facility		$536.92	$536.92	$1,674.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $433.91 / $596.54 / $1,043.07	Professional		$433.91	$596.54	$1,043.07