Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.77 / $3,996.00 / $10,296.00	Facility		$918.77	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.55 / $917.63 / $1,921.24	Professional		$666.55	$917.63	$1,921.24
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 $602.97 / $788.20 / $1,814.24	Professional		$602.97	$788.20	$1,814.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,082.45 / $1,082.45 / $10,957.50	Facility		$1,082.45	$1,082.45	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,082.45 / $1,082.45 / $1,082.45	Professional		$1,082.45	$1,082.45	$1,082.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.30 / $873.30 / $7,227.90	Facility		$873.30	$873.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.25 / $1,297.30 / $2,687.00	Professional		$731.25	$1,297.30	$2,687.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,236.00 / $1,977.60	Facility		$319.00	$1,236.00	$1,977.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $875.14 / $1,043.16 / $1,561.14	Professional		$875.14	$1,043.16	$1,561.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.03 / $880.07 / $1,408.97	Professional		$627.03	$880.07	$1,408.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $873.30 / $7,227.90	Facility		$555.00	$873.30	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $765.78 / $1,356.06 / $2,737.65	Professional		$765.78	$1,356.06	$2,737.65
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 $755.39 / $1,045.32 / $2,114.46	Professional		$755.39	$1,045.32	$2,114.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $880.07 / $880.07 / $2,468.85	Facility		$880.07	$880.07	$2,468.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $670.55 / $935.25 / $1,626.61	Professional		$670.55	$935.25	$1,626.61