Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.66 / $4,910.00 / $11,396.00	Facility		$870.66	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.33 / $982.49 / $1,782.40	Professional		$789.33	$982.49	$1,782.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.88 / $802.47 / $1,738.22	Professional		$613.88	$802.47	$1,738.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,033.34 / $1,033.34 / $37,499.62	Facility		$1,033.34	$1,033.34	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,033.34 / $1,033.34 / $1,033.34	Professional		$1,033.34	$1,033.34	$1,033.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.77 / $830.77 / $7,227.90	Facility		$830.77	$830.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.72 / $1,326.24 / $2,687.76	Professional		$739.72	$1,326.24	$2,687.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $957.00 / $4,236.47	Facility		$332.00	$957.00	$4,236.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $767.17 / $1,022.89 / $1,474.67	Professional		$767.17	$1,022.89	$1,474.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.02 / $691.99 / $1,174.05	Professional		$535.02	$691.99	$1,174.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $43,175.00	Facility		$555.00	$7,227.90	$43,175.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $761.54 / $1,198.56 / $2,648.75	Professional		$761.54	$1,198.56	$2,648.75
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 $659.96 / $933.76 / $2,120.32	Professional		$659.96	$933.76	$2,120.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $906.33 / $906.33 / $1,605.96	Facility		$906.33	$906.33	$1,605.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $535.02 / $1,034.81 / $1,502.62	Professional		$535.02	$1,034.81	$1,502.62