Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.46 / $5,164.00 / $11,161.00	Facility		$1,003.46	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.47 / $905.85 / $1,553.90	Professional		$694.47	$905.85	$1,553.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.80 / $789.30 / $1,814.46	Professional		$603.80	$789.30	$1,814.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $4,275.50 / $16,534.50	Facility		$1,124.00	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,124.00 / $1,124.00 / $1,124.00	Professional		$1,124.00	$1,124.00	$1,124.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $905.72 / $905.72 / $7,289.38	Facility		$905.72	$905.72	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.26 / $1,257.93 / $2,860.59	Professional		$722.26	$1,257.93	$2,860.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $845.00 / $2,068.81	Facility		$319.00	$845.00	$2,068.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $919.47 / $1,070.84 / $1,602.59	Professional		$919.47	$1,070.84	$1,602.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.77 / $774.00 / $1,457.83	Professional		$648.77	$774.00	$1,457.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $905.72 / $7,289.38	Facility		$555.00	$905.72	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $798.83 / $1,382.77 / $2,863.51	Professional		$798.83	$1,382.77	$2,863.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.56 / $1,092.32 / $2,245.77	Professional		$776.56	$1,092.32	$2,245.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $910.59 / $910.59 / $2,419.46	Facility		$910.59	$910.59	$2,419.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $658.69 / $960.08 / $1,683.02	Professional		$658.69	$960.08	$1,683.02