Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.19 / $3,996.00 / $10,296.00	Facility		$862.19	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.46 / $867.27 / $1,375.37	Professional		$574.46	$867.27	$1,375.37
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 $581.86 / $760.61 / $1,743.59	Professional		$581.86	$760.61	$1,743.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,007.99 / $1,007.99 / $37,499.62	Facility		$1,007.99	$1,007.99	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,007.99 / $1,007.99 / $1,007.99	Professional		$1,007.99	$1,007.99	$1,007.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $811.54 / $811.54 / $7,227.90	Facility		$811.54	$811.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.79 / $1,229.79 / $2,792.00	Professional		$670.79	$1,229.79	$2,792.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,184.00 / $1,894.40	Facility		$319.00	$1,184.00	$1,894.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $813.83 / $970.69 / $1,452.68	Professional		$813.83	$970.69	$1,452.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.72 / $870.27 / $1,293.54	Professional		$549.72	$870.27	$1,293.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $811.54 / $7,227.90	Facility		$555.00	$811.54	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $731.83 / $1,212.60 / $2,570.15	Professional		$731.83	$1,212.60	$2,570.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.33 / $893.49 / $2,228.89	Professional		$586.33	$893.49	$2,228.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $923.96 / $923.96 / $2,465.79	Facility		$923.96	$923.96	$2,465.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $549.72 / $923.96 / $1,509.16	Professional		$549.72	$923.96	$1,509.16