Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.49 / $3,599.00 / $9,868.00	Facility		$863.49	$3,599.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.54 / $839.81 / $1,690.53	Professional		$647.54	$839.81	$1,690.53
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 $577.52 / $754.94 / $1,789.64	Professional		$577.52	$754.94	$1,789.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $996.92 / $996.92 / $37,499.62	Facility		$996.92	$996.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $996.92 / $996.92 / $996.92	Professional		$996.92	$996.92	$996.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.10 / $806.10 / $7,227.90	Facility		$806.10	$806.10	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.78 / $1,337.97 / $2,628.50	Professional		$720.78	$1,337.97	$2,628.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $885.00 / $1,898.44	Facility		$319.00	$885.00	$1,898.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $832.16 / $949.65 / $1,459.69	Professional		$832.16	$949.65	$1,459.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.08 / $758.23 / $1,300.50	Professional		$572.08	$758.23	$1,300.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $806.10 / $8,498.00	Facility		$597.00	$806.10	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $1,370.50 / $2,996.52	Professional		$734.73	$1,370.50	$2,996.52
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 $630.86 / $884.71 / $2,118.14	Professional		$630.86	$884.71	$2,118.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $758.23 / $758.23 / $2,633.44	Facility		$758.23	$758.23	$2,633.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $629.58 / $871.45 / $1,649.09	Professional		$629.58	$871.45	$1,649.09