Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.29 / $3,659.00 / $10,152.00	Facility		$893.29	$3,659.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.82 / $770.08 / $1,756.05	Professional		$731.82	$770.08	$1,756.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.20 / $653.45 / $1,731.72	Professional		$526.20	$653.45	$1,731.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $947.76 / $947.76 / $947.76	Facility		$947.76	$947.76	$947.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $947.76 / $947.76 / $947.76	Professional		$947.76	$947.76	$947.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.31 / $828.31 / $7,227.90	Facility		$828.31	$828.31	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.77 / $1,166.81 / $3,426.92	Professional		$565.77	$1,166.81	$3,426.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $772.17 / $1,891.26	Facility		$319.00	$772.17	$1,891.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $840.56 / $989.44 / $1,480.74	Professional		$840.56	$989.44	$1,480.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $742.83 / $1,349.66	Professional		$505.25	$742.83	$1,349.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $828.31 / $49,110.00	Facility		$597.00	$828.31	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $589.34 / $1,158.82 / $3,149.58	Professional		$589.34	$1,158.82	$3,149.58
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 $716.49 / $1,020.09 / $2,265.00	Professional		$716.49	$1,020.09	$2,265.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $848.96 / $848.96 / $963.67	Facility		$848.96	$848.96	$963.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $618.08 / $848.96 / $1,541.99	Professional		$618.08	$848.96	$1,541.99