Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.90 / $3,996.00 / $10,296.00	Facility		$898.90	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.46 / $962.45 / $1,433.22	Professional		$738.46	$962.45	$1,433.22
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 $607.17 / $793.71 / $1,818.69	Professional		$607.17	$793.71	$1,818.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,050.89 / $1,050.89 / $10,957.50	Facility		$1,050.89	$1,050.89	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,050.89 / $1,050.89 / $1,050.89	Professional		$1,050.89	$1,050.89	$1,050.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $846.92 / $846.92 / $7,227.90	Facility		$846.92	$846.92	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.00 / $1,303.84 / $2,909.35	Professional		$692.00	$1,303.84	$2,909.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,045.00 / $1,908.14	Facility		$319.00	$1,045.00	$1,908.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $848.06 / $1,011.96 / $1,514.44	Professional		$848.06	$1,011.96	$1,514.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.03 / $898.61 / $1,360.08	Professional		$604.03	$898.61	$1,360.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $846.92 / $7,227.90	Facility		$555.00	$846.92	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $763.87 / $1,263.60 / $2,682.19	Professional		$763.87	$1,263.60	$2,682.19
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 $590.23 / $932.60 / $2,427.13	Professional		$590.23	$932.60	$2,427.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $992.39 / $992.39 / $2,467.73	Facility		$992.39	$992.39	$2,467.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $604.03 / $992.39 / $1,574.29	Professional		$604.03	$992.39	$1,574.29