Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.78 / $4,442.00 / $10,024.00	Facility		$920.78	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.87 / $920.62 / $1,374.71	Professional		$741.87	$920.62	$1,374.71
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 $580.16 / $758.40 / $1,735.32	Professional		$580.16	$758.40	$1,735.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,005.02 / $1,990.00 / $8,917.50	Facility		$1,005.02	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,005.02 / $1,005.02 / $1,005.02	Professional		$1,005.02	$1,005.02	$1,005.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.78 / $809.78 / $5,246.94	Facility		$809.78	$809.78	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.49 / $1,227.64 / $2,785.34	Professional		$616.49	$1,227.64	$2,785.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $940.00 / $1,830.24	Facility		$319.00	$940.00	$1,830.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $813.44 / $969.56 / $1,450.99	Professional		$813.44	$969.56	$1,450.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.99 / $860.96 / $1,301.69	Professional		$564.99	$860.96	$1,301.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $809.78 / $5,246.94	Facility		$555.00	$809.78	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $729.93 / $1,212.03 / $2,565.03	Professional		$729.93	$1,212.03	$2,565.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,098.00	Facility		$2,264.00	$5,735.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.52 / $865.03 / $1,978.42	Professional		$564.52	$865.03	$1,978.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $949.79 / $949.79 / $2,360.44	Facility		$949.79	$949.79	$2,360.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $564.99 / $949.79 / $1,506.70	Professional		$564.99	$949.79	$1,506.70