Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.96 / $4,683.00 / $10,965.00	Facility		$739.96	$4,683.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.96 / $723.89 / $1,268.41	Professional		$589.96	$723.89	$1,268.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.91 / $611.65 / $1,471.89	Professional		$467.91	$611.65	$1,471.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $832.12 / $2,390.00 / $10,957.50	Facility		$832.12	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $832.12 / $832.12 / $832.12	Professional		$832.12	$832.12	$832.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.80 / $676.80 / $6,511.02	Facility		$676.80	$676.80	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.12 / $1,016.99 / $2,168.44	Professional		$473.12	$1,016.99	$2,168.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $650.00 / $1,558.60	Facility		$319.00	$650.00	$1,558.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $692.71 / $812.81 / $1,216.42	Professional		$692.71	$812.81	$1,216.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.00 / $560.55 / $1,110.31	Professional		$489.00	$560.55	$1,110.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $676.80 / $6,511.02	Facility		$555.00	$676.80	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $596.24 / $1,016.99 / $2,168.44	Professional		$596.24	$1,016.99	$2,168.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,403.00	Facility		$2,444.00	$6,762.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.12 / $777.20 / $1,710.33	Professional		$524.12	$777.20	$1,710.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $642.69 / $642.69 / $1,940.63	Facility		$642.69	$642.69	$1,940.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $527.02 / $688.52 / $1,268.54	Professional		$527.02	$688.52	$1,268.54