Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.65 / $3,419.00 / $11,609.00	Facility		$487.65	$3,419.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.51 / $1,356.53 / $2,446.37	Professional		$380.51	$1,356.53	$2,446.37
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 $1,282.31 / $1,678.48 / $3,700.64	Professional		$1,282.31	$1,678.48	$3,700.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $499.38 / $1,990.00 / $12,319.50	Facility		$499.38	$1,990.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $499.38 / $499.38 / $2,143.71	Professional		$499.38	$499.38	$2,143.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.94 / $597.94 / $7,227.90	Facility		$597.94	$597.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.89 / $1,185.06 / $3,750.19	Professional		$368.89	$1,185.06	$3,750.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $530.00 / $922.50	Facility		$332.00	$530.00	$922.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.57 / $1,887.71 / $2,831.56	Professional		$1,392.57	$1,887.71	$2,831.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.50 / $1,807.08 / $2,860.20	Professional		$842.50	$1,807.08	$2,860.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $597.94 / $7,227.90	Facility		$597.00	$597.94	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $404.03 / $1,629.26 / $3,904.85	Professional		$404.03	$1,629.26	$3,904.85
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 $1,404.15 / $1,892.55 / $4,401.10	Professional		$1,404.15	$1,892.55	$4,401.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $439.11 / $439.11 / $883.48	Facility		$439.11	$439.11	$883.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $842.50 / $1,701.59 / $2,860.20	Professional		$842.50	$1,701.59	$2,860.20