Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.45 / $1,480.05 / $2,556.44	Facility		$762.45	$1,480.05	$2,556.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $672.75 / $1,231.84	Professional		$350.00	$672.75	$1,231.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $897.00 / $2,332.19	Facility		$897.00	$897.00	$2,332.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $358.80 / $1,219.92	Professional		$84.89	$358.80	$1,219.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $897.00 / $897.00	Facility		$538.20	$897.00	$897.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $654.80 / $897.00 / $897.00	Professional		$654.80	$897.00	$897.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.79 / $1,816.73 / $2,327.94	Facility		$626.79	$1,816.73	$2,327.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.17 / $1,098.03 / $2,911.12	Professional		$538.17	$1,098.03	$2,911.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $332.00 / $2,018.25	Facility		$12.00	$332.00	$2,018.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $409.93 / $708.63 / $1,641.51	Professional		$409.93	$708.63	$1,641.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.50 / $852.15 / $1,055.77	Professional		$451.50	$852.15	$1,055.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,894.91 / $2,327.94	Facility		$555.00	$1,894.91	$2,327.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $548.51 / $977.73 / $2,691.00	Professional		$548.51	$977.73	$2,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $1,408.16	Professional		$376.74	$538.20	$1,408.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $950.82 / $950.82 / $950.82	Facility		$950.82	$950.82	$950.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $456.02 / $852.15 / $1,055.77	Professional		$456.02	$852.15	$1,055.77