Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.98 / $3,419.00 / $9,267.00	Facility		$597.98	$3,419.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.25 / $682.23 / $1,274.75	Professional		$443.25	$682.23	$1,274.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.39 / $655.42 / $1,677.44	Professional		$501.39	$655.42	$1,677.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $648.96 / $1,990.00 / $8,917.50	Facility		$648.96	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $648.96 / $648.96 / $901.05	Professional		$648.96	$648.96	$901.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.49 / $794.49 / $5,246.94	Facility		$794.49	$794.49	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.15 / $907.76 / $2,189.27	Professional		$430.15	$907.76	$2,189.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $809.81 / $1,326.78	Facility		$332.00	$809.81	$1,326.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $749.94 / $873.99 / $1,307.97	Professional		$749.94	$873.99	$1,307.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.83 / $694.80 / $1,194.13	Professional		$440.83	$694.80	$1,194.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $794.49 / $5,246.94	Facility		$555.00	$794.49	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $505.57 / $948.37 / $2,226.41	Professional		$505.57	$948.37	$2,226.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.42 / $821.75 / $1,908.79	Professional		$374.42	$821.75	$1,908.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $503.82 / $503.82 / $1,446.33	Facility		$503.82	$503.82	$1,446.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $440.83 / $754.49 / $1,344.29	Professional		$440.83	$754.49	$1,344.29