Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.13 / $3,951.00 / $10,170.00	Facility		$528.13	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.02 / $519.59 / $1,710.81	Professional		$452.02	$519.59	$1,710.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,109.00 / $8,410.00	Facility		$2,393.00	$4,109.00	$8,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.25 / $499.87 / $1,105.95	Professional		$390.25	$499.87	$1,105.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $643.45 / $643.45 / $37,499.62	Facility		$643.45	$643.45	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $643.45 / $643.45 / $643.45	Professional		$643.45	$643.45	$643.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.66 / $532.66 / $7,227.90	Facility		$532.66	$532.66	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.78 / $832.08 / $2,422.92	Professional		$465.78	$832.08	$2,422.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $774.82 / $1,656.00	Facility		$319.00	$774.82	$1,656.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $556.29 / $614.70 / $1,011.13	Professional		$556.29	$614.70	$1,011.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.01 / $526.78 / $837.48	Professional		$340.01	$526.78	$837.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $532.66 / $555.00 / $7,227.90	Facility		$532.66	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $465.78 / $838.29 / $2,422.92	Professional		$465.78	$838.29	$2,422.92
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 $468.75 / $667.70 / $1,520.65	Professional		$468.75	$667.70	$1,520.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $526.78 / $526.78 / $2,272.86	Facility		$526.78	$526.78	$2,272.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $368.84 / $564.09 / $1,080.47	Professional		$368.84	$564.09	$1,080.47