Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.93 / $3,347.00 / $7,735.00	Facility		$712.93	$3,347.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.06 / $669.29 / $1,430.54	Professional		$496.06	$669.29	$1,430.54
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 $400.36 / $515.92 / $1,373.10	Professional		$400.36	$515.92	$1,373.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $786.85 / $1,254.00 / $4,050.00	Facility		$786.85	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $786.85 / $786.85 / $786.85	Professional		$786.85	$786.85	$786.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.51 / $618.51 / $3,479.91	Facility		$618.51	$618.51	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.73 / $942.48 / $2,000.72	Professional		$427.73	$942.48	$2,000.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $883.00 / $1,454.76	Facility		$332.00	$883.00	$1,454.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.82 / $735.14 / $1,100.17	Professional		$630.82	$735.14	$1,100.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.20 / $506.99 / $1,007.71	Professional		$419.20	$506.99	$1,007.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $618.51 / $3,479.91	Facility		$555.00	$618.51	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $492.92 / $939.92 / $2,000.72	Professional		$492.92	$939.92	$2,000.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $675.65 / $1,515.48	Professional		$314.95	$675.65	$1,515.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $586.33 / $586.33 / $1,664.04	Facility		$586.33	$586.33	$1,664.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $419.20 / $611.94 / $1,297.89	Professional		$419.20	$611.94	$1,297.89