Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.51 / $3,797.00 / $11,550.00	Facility		$307.51	$3,797.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.30 / $812.89 / $1,686.50	Professional		$214.30	$812.89	$1,686.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.68 / $948.27 / $2,499.71	Professional		$718.68	$948.27	$2,499.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $279.13 / $279.13 / $12,319.50	Facility		$279.13	$279.13	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $279.13 / $279.13 / $1,519.06	Professional		$279.13	$279.13	$1,519.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $7,227.90	Facility		$336.96	$336.96	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $727.25 / $2,533.56	Professional		$213.51	$727.25	$2,533.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $230.74 / $313.00 / $536.29	Facility		$230.74	$313.00	$536.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $984.25 / $1,334.20 / $2,001.31	Professional		$984.25	$1,334.20	$2,001.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.73 / $1,277.15 / $2,029.06	Professional		$840.73	$1,277.15	$2,029.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $7,227.90	Facility		$336.96	$336.96	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $1,102.13 / $2,660.37	Professional		$227.66	$1,102.13	$2,660.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $13,262.00	Facility		$2,337.00	$5,963.00	$13,262.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.92 / $1,351.19 / $3,071.19	Professional		$1,029.92	$1,351.19	$3,071.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $246.18 / $246.18 / $464.00	Facility		$246.18	$246.18	$464.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $1,202.58 / $2,029.06	Professional		$491.88	$1,202.58	$2,029.06