Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.60 / $3,100.00 / $9,661.00	Facility		$869.60	$3,100.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.69 / $869.60 / $1,770.25	Professional		$628.69	$869.60	$1,770.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $759.71 / $1,708.63	Professional		$581.16	$759.71	$1,708.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,002.43 / $1,002.43 / $10,957.50	Facility		$1,002.43	$1,002.43	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,002.43 / $1,002.43 / $1,002.43	Professional		$1,002.43	$1,002.43	$1,002.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $805.64 / $805.64 / $7,227.90	Facility		$805.64	$805.64	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.07 / $1,235.44 / $2,753.74	Professional		$657.07	$1,235.44	$2,753.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,186.40 / $1,944.00	Facility		$319.00	$1,186.40	$1,944.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $797.54 / $955.71 / $1,430.27	Professional		$797.54	$955.71	$1,430.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.01 / $856.84 / $1,273.58	Professional		$564.01	$856.84	$1,273.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $805.64 / $7,227.90	Facility		$555.00	$805.64	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $720.24 / $1,188.33 / $2,574.58	Professional		$720.24	$1,188.33	$2,574.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.41 / $896.39 / $2,227.15	Professional		$629.41	$896.39	$2,227.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $909.71 / $909.71 / $2,548.82	Facility		$909.71	$909.71	$2,548.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $564.01 / $909.71 / $1,485.88	Professional		$564.01	$909.71	$1,485.88