Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.28 / $5,228.00 / $10,194.49	Facility		$987.28	$5,228.00	$10,194.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.58 / $967.93 / $1,986.61	Professional		$765.58	$967.93	$1,986.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.25 / $800.33 / $1,825.05	Professional		$612.25	$800.33	$1,825.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,056.73 / $1,990.00 / $8,917.50	Facility		$1,056.73	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,056.73 / $1,056.73 / $1,056.73	Professional		$1,056.73	$1,056.73	$1,056.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.19 / $850.19 / $5,246.94	Facility		$850.19	$850.19	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.84 / $1,289.99 / $2,925.23	Professional		$648.84	$1,289.99	$2,925.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,261.33 / $2,104.00	Facility		$319.00	$1,261.33	$2,104.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.39 / $1,016.07 / $1,520.61	Professional		$851.39	$1,016.07	$1,520.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.08 / $902.27 / $1,365.05	Professional		$609.08	$902.27	$1,365.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $850.19 / $5,246.94	Facility		$555.00	$850.19	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $768.85 / $1,268.57 / $2,699.62	Professional		$768.85	$1,268.57	$2,699.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,509.00	Facility		$2,337.00	$6,450.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.05 / $938.69 / $2,321.13	Professional		$621.05	$938.69	$2,321.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $996.02 / $996.02 / $2,548.04	Facility		$996.02	$996.02	$2,548.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $632.75 / $996.02 / $1,580.04	Professional		$632.75	$996.02	$1,580.04