Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.06 / $4,392.00 / $10,296.00	Facility		$867.06	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.29 / $867.06 / $1,708.70	Professional		$594.29	$867.06	$1,708.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,688.00 / $14,242.23	Facility		$4,574.00	$7,688.00	$14,242.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.02 / $771.28 / $1,827.90	Professional		$590.02	$771.28	$1,827.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,025.63 / $1,025.63 / $37,499.62	Facility		$1,025.63	$1,025.63	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,025.63 / $1,025.63 / $1,025.63	Professional		$1,025.63	$1,025.63	$1,025.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.36 / $827.36 / $7,227.90	Facility		$827.36	$827.36	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.92 / $1,315.26 / $2,700.31	Professional		$721.92	$1,315.26	$2,700.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $808.00 / $1,955.54	Facility		$319.00	$808.00	$1,955.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $858.51 / $978.94 / $1,503.59	Professional		$858.51	$978.94	$1,503.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.39 / $782.18 / $1,341.58	Professional		$585.39	$782.18	$1,341.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $827.36 / $7,227.90	Facility		$555.00	$827.36	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $752.28 / $1,309.50 / $2,700.31	Professional		$752.28	$1,309.50	$2,700.31
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 $610.88 / $905.92 / $2,152.31	Professional		$610.88	$905.92	$2,152.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $782.18 / $782.18 / $2,094.48	Facility		$782.18	$782.18	$2,094.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $585.39 / $898.98 / $1,701.18	Professional		$585.39	$898.98	$1,701.18