Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.40 / $3,996.00 / $10,296.00	Facility		$845.40	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.52 / $853.95 / $1,357.04	Professional		$650.52	$853.95	$1,357.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.77 / $744.80 / $1,713.29	Professional		$569.77	$744.80	$1,713.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,033.00 / $1,033.00 / $37,499.62	Facility		$1,033.00	$1,033.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,033.00 / $1,033.00 / $1,033.00	Professional		$1,033.00	$1,033.00	$1,033.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.25 / $796.25 / $7,227.90	Facility		$796.25	$796.25	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.27 / $1,204.97 / $2,874.34	Professional		$674.27	$1,204.97	$2,874.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,183.46 / $1,960.00	Facility		$319.00	$1,183.46	$1,960.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $799.63 / $953.35 / $1,426.73	Professional		$799.63	$953.35	$1,426.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.20 / $771.16 / $1,270.15	Professional		$540.20	$771.16	$1,270.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $796.25 / $7,227.90	Facility		$555.00	$796.25	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $749.70 / $1,199.10 / $2,729.17	Professional		$749.70	$1,199.10	$2,729.17
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 $645.67 / $949.30 / $2,555.26	Professional		$645.67	$949.30	$2,555.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $907.25 / $907.25 / $2,414.17	Facility		$907.25	$907.25	$2,414.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $540.20 / $873.63 / $1,481.86	Professional		$540.20	$873.63	$1,481.86