Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.27 / $3,978.00 / $9,038.00	Facility		$690.27	$3,978.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.73 / $572.88 / $1,001.96	Professional		$439.73	$572.88	$1,001.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.86 / $467.99 / $1,238.92	Professional		$376.86	$467.99	$1,238.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $672.80 / $672.80 / $672.80	Facility		$672.80	$672.80	$672.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $672.80 / $672.80 / $672.80	Professional		$672.80	$672.80	$672.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.08 / $600.08 / $9,122.79	Facility		$600.08	$600.08	$9,122.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.53 / $835.65 / $1,781.85	Professional		$353.53	$835.65	$1,781.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $610.00 / $1,380.94	Facility		$332.00	$610.00	$1,380.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $613.75 / $720.03 / $1,077.56	Professional		$613.75	$720.03	$1,077.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.50 / $496.57 / $977.29	Professional		$414.50	$496.57	$977.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $600.08 / $9,122.79	Facility		$555.00	$600.08	$9,122.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $422.82 / $799.41 / $1,781.85	Professional		$422.82	$799.41	$1,781.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $11,098.00	Facility		$2,337.00	$5,963.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.43 / $609.14 / $1,453.47	Professional		$306.43	$609.14	$1,453.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $568.63 / $568.63 / $606.19	Facility		$568.63	$568.63	$606.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $414.50 / $568.63 / $1,128.25	Professional		$414.50	$568.63	$1,128.25