Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.00 / $4,441.00 / $9,868.00	Facility		$965.00	$4,441.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.85 / $960.13 / $2,029.29	Professional		$708.85	$960.13	$2,029.29
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 $563.51 / $726.18 / $1,832.63	Professional		$563.51	$726.18	$1,832.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,120.40 / $1,990.00 / $8,917.50	Facility		$1,120.40	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,120.40 / $1,120.40 / $1,120.40	Professional		$1,120.40	$1,120.40	$1,120.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.32 / $799.32 / $5,246.94	Facility		$799.32	$799.32	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.92 / $1,334.54 / $2,838.11	Professional		$608.92	$1,334.54	$2,838.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $749.71 / $1,834.72	Facility		$319.00	$749.71	$1,834.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $815.43 / $951.10 / $1,423.37	Professional		$815.43	$951.10	$1,423.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.79 / $771.55 / $1,309.70	Professional		$613.79	$771.55	$1,309.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $799.32 / $5,246.94	Facility		$555.00	$799.32	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $706.29 / $1,294.64 / $2,916.86	Professional		$706.29	$1,294.64	$2,916.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.97 / $946.29 / $2,299.58	Professional		$604.97	$946.29	$2,299.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $771.55 / $771.55 / $2,518.75	Facility		$771.55	$771.55	$2,518.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $641.33 / $886.76 / $1,678.06	Professional		$641.33	$886.76	$1,678.06