Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.09 / $4,545.00 / $10,024.00	Facility		$890.09	$4,545.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.86 / $809.36 / $1,431.23	Professional		$637.86	$809.36	$1,431.23
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 $502.46 / $647.50 / $1,662.46	Professional		$502.46	$647.50	$1,662.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $959.20 / $1,990.00 / $8,917.50	Facility		$959.20	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $959.20 / $959.20 / $959.20	Professional		$959.20	$959.20	$959.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.11 / $750.11 / $5,246.94	Facility		$750.11	$750.11	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $1,211.47 / $2,446.94	Professional		$520.11	$1,211.47	$2,446.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $705.75 / $1,728.11	Facility		$332.00	$705.75	$1,728.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $768.05 / $897.71 / $1,343.47	Professional		$768.05	$897.71	$1,343.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.21 / $712.26 / $1,224.14	Professional		$530.21	$712.26	$1,224.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $750.11 / $5,246.94	Facility		$555.00	$750.11	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $654.86 / $1,177.91 / $2,438.53	Professional		$654.86	$1,177.91	$2,438.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.90 / $823.93 / $2,055.85	Professional		$410.90	$823.93	$2,055.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $712.26 / $712.26 / $2,317.88	Facility		$712.26	$712.26	$2,317.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $530.21 / $747.27 / $1,576.64	Professional		$530.21	$747.27	$1,576.64