Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.20 / $3,996.00 / $10,296.00	Facility		$893.20	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.33 / $919.29 / $1,670.70	Professional		$624.33	$919.29	$1,670.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.50 / $779.74 / $1,776.96	Professional		$596.50	$779.74	$1,776.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,040.78 / $1,040.78 / $37,499.62	Facility		$1,040.78	$1,040.78	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,040.78 / $1,040.78 / $1,040.78	Professional		$1,040.78	$1,040.78	$1,040.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.03 / $802.03 / $7,227.90	Facility		$802.03	$802.03	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.04 / $1,312.85 / $2,795.83	Professional		$663.04	$1,312.85	$2,795.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $805.00 / $1,809.54	Facility		$319.00	$805.00	$1,809.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $804.24 / $959.36 / $1,435.74	Professional		$804.24	$959.36	$1,435.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.05 / $860.12 / $1,279.16	Professional		$536.05	$860.12	$1,279.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $802.03 / $7,227.90	Facility		$555.00	$802.03	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $748.51 / $1,281.61 / $2,727.39	Professional		$748.51	$1,281.61	$2,727.39
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 $621.63 / $943.78 / $2,303.69	Professional		$621.63	$943.78	$2,303.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $913.68 / $913.68 / $2,548.00	Facility		$913.68	$913.68	$2,548.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $536.05 / $913.68 / $1,492.37	Professional		$536.05	$913.68	$1,492.37