Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.75 / $3,938.00 / $9,038.00	Facility		$1,032.75	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.24 / $967.44 / $1,530.38	Professional		$645.24	$967.44	$1,530.38
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 $597.00 / $772.05 / $1,938.59	Professional		$597.00	$772.05	$1,938.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.66 / $1,716.00 / $6,213.00	Facility		$1,122.66	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,122.66 / $1,122.66 / $1,122.66	Professional		$1,122.66	$1,122.66	$1,122.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $904.00 / $4,612.43	Facility		$904.00	$904.00	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.98 / $1,360.47 / $3,106.02	Professional		$688.98	$1,360.47	$3,106.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $980.00 / $2,037.49	Facility		$319.00	$980.00	$2,037.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $905.55 / $1,080.76 / $1,617.41	Professional		$905.55	$1,080.76	$1,617.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.04 / $874.00 / $1,439.54	Professional		$622.04	$874.00	$1,439.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $904.00 / $4,612.43	Facility		$555.00	$904.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $816.77 / $1,349.27 / $2,869.39	Professional		$816.77	$1,349.27	$2,869.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,403.00 / $4,893.00 / $10,314.00	Facility		$2,403.00	$4,893.00	$10,314.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.44 / $993.94 / $2,466.28	Professional		$690.44	$993.94	$2,466.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,028.24 / $1,028.24 / $2,751.37	Facility		$1,028.24	$1,028.24	$2,751.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $622.04 / $990.14 / $1,679.48	Professional		$622.04	$990.14	$1,679.48