Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.40 / $816.00 / $10,636.85	Facility		$662.40	$816.00	$10,636.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.40 / $768.00 / $956.16	Professional		$662.40	$768.00	$956.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.93 / $913.93 / $1,142.41	Facility		$913.93	$913.93	$1,142.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.67 / $800.00 / $2,656.48	Professional		$227.67	$800.00	$2,656.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,841.59 / $2,841.59 / $2,983.67	Facility		$2,841.59	$2,841.59	$2,983.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,841.59 / $2,841.59 / $2,841.59	Professional		$2,841.59	$2,841.59	$2,841.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,971.59 / $2,971.59	Facility		$816.00	$2,971.59	$2,971.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $933.12 / $2,424.94	Facility		$319.00	$933.12	$2,424.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $1,476.52	Professional		$816.00	$816.00	$1,476.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $848.00 / $848.00	Facility		$816.00	$848.00	$848.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $848.00 / $848.00	Professional		$816.00	$848.00	$848.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,885.04 / $2,971.59	Facility		$597.00	$2,885.04	$2,971.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $1,142.41 / $2,022.58	Professional		$816.00	$1,142.41	$2,022.58
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,350.00	Professional		$800.00	$800.00	$1,350.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $816.00 / $848.00	Professional		$52.05	$816.00	$848.00