Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.81 / $4,792.00 / $11,396.00	Facility		$814.81	$4,792.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.37 / $742.43 / $1,589.29	Professional		$645.37	$742.43	$1,589.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.69 / $714.64 / $1,658.22	Professional		$546.69	$714.64	$1,658.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $958.39 / $958.39 / $37,499.62	Facility		$958.39	$958.39	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $958.39 / $958.39 / $958.39	Professional		$958.39	$958.39	$958.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.15 / $772.15 / $7,227.90	Facility		$772.15	$772.15	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.10 / $1,203.45 / $2,530.65	Professional		$571.10	$1,203.45	$2,530.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,132.47 / $2,040.00	Facility		$319.00	$1,132.47	$2,040.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $799.92 / $912.27 / $1,401.33	Professional		$799.92	$912.27	$1,401.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.05 / $720.62 / $1,340.84	Professional		$548.05	$720.62	$1,340.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $772.15 / $7,227.90	Facility		$555.00	$772.15	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $684.35 / $1,203.45 / $2,530.65	Professional		$684.35	$1,203.45	$2,530.65
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 $601.58 / $898.57 / $2,012.37	Professional		$601.58	$898.57	$2,012.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $720.62 / $720.62 / $2,197.02	Facility		$720.62	$720.62	$2,197.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $601.59 / $838.19 / $1,586.16	Professional		$601.59	$838.19	$1,586.16