Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.60 / $5,164.00 / $11,880.00	Facility		$976.60	$5,164.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.66 / $966.89 / $1,695.38	Professional		$663.66	$966.89	$1,695.38
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 $544.03 / $701.07 / $1,848.28	Professional		$544.03	$701.07	$1,848.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,129.15 / $2,644.00 / $12,319.50	Facility		$1,129.15	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,129.15 / $1,129.15 / $1,129.15	Professional		$1,129.15	$1,129.15	$1,129.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.99 / $877.99 / $7,289.38	Facility		$877.99	$877.99	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.73 / $1,271.88 / $2,874.93	Professional		$616.73	$1,271.88	$2,874.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $826.68 / $2,022.98	Facility		$319.00	$826.68	$2,022.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $899.10 / $1,048.94 / $1,569.80	Professional		$899.10	$1,048.94	$1,569.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.74 / $847.76 / $1,439.06	Professional		$610.74	$847.76	$1,439.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $877.99 / $7,289.38	Facility		$555.00	$877.99	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $674.52 / $1,279.98 / $2,874.93	Professional		$674.52	$1,279.98	$2,874.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.32 / $961.28 / $2,164.19	Professional		$649.32	$961.28	$2,164.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $847.76 / $847.76 / $2,341.82	Facility		$847.76	$847.76	$2,341.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $610.74 / $974.34 / $1,843.80	Professional		$610.74	$974.34	$1,843.80