Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.04 / $3,996.00 / $10,296.00	Facility		$810.04	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.34 / $823.13 / $1,673.80	Professional		$577.34	$823.13	$1,673.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.30 / $698.45 / $1,621.94	Professional		$534.30	$698.45	$1,621.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $934.84 / $934.84 / $37,499.62	Facility		$934.84	$934.84	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $934.84 / $934.84 / $934.84	Professional		$934.84	$934.84	$934.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.10 / $755.10 / $7,227.90	Facility		$755.10	$755.10	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.69 / $1,090.57 / $2,343.89	Professional		$645.69	$1,090.57	$2,343.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,055.00 / $1,722.78	Facility		$319.00	$1,055.00	$1,722.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $765.68 / $904.10 / $1,353.04	Professional		$765.68	$904.10	$1,353.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.66 / $648.62 / $1,221.67	Professional		$543.66	$648.62	$1,221.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $755.10 / $7,227.90	Facility		$555.00	$755.10	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $673.42 / $1,090.57 / $2,343.89	Professional		$673.42	$1,090.57	$2,343.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $4,114.00 / $7,939.00	Facility		$2,264.00	$4,114.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.80 / $881.25 / $1,705.62	Professional		$644.80	$881.25	$1,705.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $763.08 / $763.08 / $2,075.54	Facility		$763.08	$763.08	$2,075.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $559.45 / $808.23 / $1,410.38	Professional		$559.45	$808.23	$1,410.38