Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.05 / $5,718.90 / $13,407.00	Facility		$899.05	$5,718.90	$13,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.84 / $881.32 / $1,362.25	Professional		$635.84	$881.32	$1,362.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.70 / $638.79 / $1,691.89	Professional		$495.70	$638.79	$1,691.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $926.46 / $4,275.50 / $16,534.50	Facility		$926.46	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $926.46 / $926.46 / $926.46	Professional		$926.46	$926.46	$926.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.16 / $746.16 / $13,296.25	Facility		$746.16	$746.16	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.66 / $1,144.51 / $2,574.46	Professional		$615.66	$1,144.51	$2,574.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,121.09 / $2,024.10	Facility		$332.00	$1,121.09	$2,024.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $747.40 / $891.72 / $1,334.51	Professional		$747.40	$891.72	$1,334.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.88 / $742.80 / $1,197.66	Professional		$532.88	$742.80	$1,197.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $746.16 / $13,296.25	Facility		$597.00	$746.16	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $690.12 / $1,144.51 / $2,574.46	Professional		$690.12	$1,144.51	$2,574.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $8,115.00 / $16,622.00	Facility		$2,705.00	$8,115.00	$16,622.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.86 / $858.86 / $2,031.91	Professional		$526.86	$858.86	$2,031.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $873.88 / $873.88 / $2,403.02	Facility		$873.88	$873.88	$2,403.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $532.88 / $817.28 / $1,386.29	Professional		$532.88	$817.28	$1,386.29