Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.73 / $3,754.00 / $11,996.00	Facility		$538.73	$3,754.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $1,524.43 / $3,242.67	Professional		$405.05	$1,524.43	$3,242.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,515.32 / $1,924.53 / $4,700.01	Professional		$1,515.32	$1,924.53	$4,700.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $533.91 / $533.91 / $13,477.50	Facility		$533.91	$533.91	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $533.91 / $2,589.82	Professional		$533.91	$533.91	$2,589.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.32 / $648.32 / $13,296.25	Facility		$648.32	$648.32	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.38 / $1,787.57 / $6,095.98	Professional		$441.38	$1,787.57	$6,095.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $478.74 / $988.07	Facility		$319.00	$478.74	$988.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,851.65 / $2,141.23 / $3,204.46	Professional		$1,851.65	$2,141.23	$3,204.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,338.32 / $2,318.44 / $3,303.05	Professional		$1,338.32	$2,318.44	$3,303.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $648.32 / $23,612.00	Facility		$597.00	$648.32	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $476.15 / $2,103.19 / $5,401.08	Professional		$476.15	$2,103.19	$5,401.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $20,800.00	Facility		$2,031.00	$4,840.00	$20,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,550.55 / $2,235.71 / $6,383.04	Professional		$1,550.55	$2,235.71	$6,383.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $496.05 / $496.05 / $825.00	Facility		$496.05	$496.05	$825.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $976.45 / $2,125.56 / $3,303.05	Professional		$976.45	$2,125.56	$3,303.05