Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.63 / $4,392.00 / $10,296.00	Facility		$973.63	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.97 / $963.03 / $1,937.47	Professional		$699.97	$963.03	$1,937.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,204.00 / $11,909.00	Facility		$3,283.00	$5,204.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.33 / $865.80 / $2,056.98	Professional		$662.33	$865.80	$2,056.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,142.43 / $1,142.43 / $37,499.62	Facility		$1,142.43	$1,142.43	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,142.43 / $1,142.43 / $1,142.43	Professional		$1,142.43	$1,142.43	$1,142.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $923.74 / $923.74 / $7,227.90	Facility		$923.74	$923.74	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.74 / $1,497.91 / $3,139.46	Professional		$672.74	$1,497.91	$3,139.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,113.00 / $2,173.23	Facility		$319.00	$1,113.00	$2,173.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $952.55 / $1,086.99 / $1,670.97	Professional		$952.55	$1,086.99	$1,670.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.90 / $757.13 / $1,489.95	Professional		$652.90	$757.13	$1,489.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $923.74 / $7,227.90	Facility		$555.00	$923.74	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $820.91 / $1,497.91 / $3,139.46	Professional		$820.91	$1,497.91	$3,139.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.49 / $1,010.02 / $2,590.84	Professional		$716.49	$1,010.02	$2,590.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $868.68 / $868.68 / $2,830.46	Facility		$868.68	$868.68	$2,830.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $694.22 / $939.88 / $1,889.31	Professional		$694.22	$939.88	$1,889.31