Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.44 / $4,072.50 / $11,609.00	Facility		$281.44	$4,072.50	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.99 / $1,749.85 / $3,880.38	Professional		$165.99	$1,749.85	$3,880.38
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 $1,895.11 / $2,406.90 / $5,338.42	Professional		$1,895.11	$2,406.90	$5,338.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $296.04 / $296.04 / $10,957.50	Facility		$296.04	$296.04	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $296.04 / $296.04 / $3,818.67	Professional		$296.04	$296.04	$3,818.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.40 / $358.40 / $13,296.25	Facility		$358.40	$358.40	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $1,229.31 / $7,715.13	Professional		$225.00	$1,229.31	$7,715.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.54 / $292.80 / $563.47	Facility		$223.54	$292.80	$563.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.01 / $2,910.69 / $4,401.89	Professional		$2,290.01	$2,910.69	$4,401.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,741.97 / $2,408.41 / $4,505.82	Professional		$1,741.97	$2,408.41	$4,505.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $358.40 / $597.00 / $23,610.00	Facility		$358.40	$597.00	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $271.74 / $2,722.56 / $7,715.13	Professional		$271.74	$2,722.56	$7,715.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,692.87 / $3,154.19 / $7,634.55	Professional		$1,692.87	$3,154.19	$7,634.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $221.43 / $568.97	Facility		$221.43	$221.43	$568.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $652.24 / $2,408.41 / $4,505.82	Professional		$652.24	$2,408.41	$4,505.82