Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.94 / $3,754.00 / $10,686.00	Facility		$948.94	$3,754.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.64 / $938.32 / $1,896.32	Professional		$722.64	$938.32	$1,896.32
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 $646.74 / $845.42 / $1,998.77	Professional		$646.74	$845.42	$1,998.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,114.26 / $1,114.26 / $37,499.62	Facility		$1,114.26	$1,114.26	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,114.26 / $1,114.26 / $1,114.26	Professional		$1,114.26	$1,114.26	$1,114.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.19 / $901.19 / $39,142.00	Facility		$901.19	$901.19	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.72 / $1,485.13 / $2,938.77	Professional		$806.72	$1,485.13	$2,938.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $984.00 / $2,116.67	Facility		$319.00	$984.00	$2,116.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $927.38 / $1,058.59 / $1,627.48	Professional		$927.38	$1,058.59	$1,627.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.22 / $846.16 / $1,451.32	Professional		$639.22	$846.16	$1,451.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $5,855.00 / $39,142.00	Facility		$597.00	$5,855.00	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $821.45 / $1,469.04 / $3,076.28	Professional		$821.45	$1,469.04	$3,076.28
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 $697.94 / $1,011.44 / $2,367.92	Professional		$697.94	$1,011.44	$2,367.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $846.16 / $846.16 / $2,927.56	Facility		$846.16	$846.16	$2,927.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $702.60 / $972.51 / $1,840.34	Professional		$702.60	$972.51	$1,840.34