Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.76 / $5,122.00 / $12,466.00	Facility		$233.76	$5,122.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $565.28 / $4,587.89	Professional		$165.90	$565.28	$4,587.89
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 $2,238.00 / $2,806.23 / $7,355.54	Professional		$2,238.00	$2,806.23	$7,355.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $3,416.81 / $4,209.35 / $11,033.31	Professional	50	$3,416.81	$4,209.35	$11,033.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $234.96 / $234.96 / $3,762.00	Facility		$234.96	$234.96	$3,762.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.96 / $234.96 / $4,008.25	Professional		$234.96	$234.96	$4,008.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.04 / $287.04 / $13,296.25	Facility		$287.04	$287.04	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $668.55 / $7,402.05	Professional		$188.82	$668.55	$7,402.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $189.67 / $291.81 / $610.00	Facility		$189.67	$291.81	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,489.13 / $3,177.56 / $4,784.66	Professional		$2,489.13	$3,177.56	$4,784.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,132.96 / $2,815.65 / $4,551.30	Professional		$2,132.96	$2,815.65	$4,551.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $287.04 / $555.00 / $13,296.25	Facility		$287.04	$555.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $212.40 / $2,638.83 / $7,924.45	Professional		$212.40	$2,638.83	$7,924.45
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 $2,530.94 / $3,829.85 / $9,675.52	Professional		$2,530.94	$3,829.85	$9,675.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $182.91 / $182.91 / $239.60	Facility		$182.91	$182.91	$239.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $534.12 / $2,815.65 / $4,551.30	Professional		$534.12	$2,815.65	$4,551.30