Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.42 / $5,845.00 / $14,926.00	Facility		$1,041.42	$5,845.00	$14,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.61 / $997.28 / $2,180.69	Professional		$695.61	$997.28	$2,180.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.49 / $839.86 / $1,960.53	Professional		$642.49	$839.86	$1,960.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,185.85 / $3,478.50 / $13,477.50	Facility		$1,185.85	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,185.85 / $1,185.85 / $1,185.85	Professional		$1,185.85	$1,185.85	$1,185.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.34 / $930.34 / $10,297.11	Facility		$930.34	$930.34	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.08 / $1,346.35 / $3,075.66	Professional		$642.08	$1,346.35	$3,075.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $906.00 / $2,181.17	Facility		$319.00	$906.00	$2,181.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $969.41 / $1,118.56 / $1,677.08	Professional		$969.41	$1,118.56	$1,677.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.75 / $895.77 / $1,520.57	Professional		$656.75	$895.77	$1,520.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $930.34 / $10,297.11	Facility		$555.00	$930.34	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $711.00 / $1,346.35 / $3,096.42	Professional		$711.00	$1,346.35	$3,096.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $12,509.00	Facility		$2,337.00	$5,963.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.09 / $1,025.13 / $2,372.29	Professional		$697.09	$1,025.13	$2,372.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $895.77 / $895.77 / $2,670.88	Facility		$895.77	$895.77	$2,670.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $656.75 / $1,029.53 / $1,948.23	Professional		$656.75	$1,029.53	$1,948.23