Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.89 / $3,996.00 / $10,296.00	Facility		$966.89	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.45 / $968.59 / $1,555.44	Professional		$691.45	$968.59	$1,555.44
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 $616.47 / $805.85 / $1,956.04	Professional		$616.47	$805.85	$1,956.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,124.29 / $1,124.29 / $37,499.62	Facility		$1,124.29	$1,124.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,124.29 / $1,124.29 / $1,124.29	Professional		$1,124.29	$1,124.29	$1,124.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.73 / $904.73 / $7,227.90	Facility		$904.73	$904.73	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.80 / $1,375.60 / $2,860.00	Professional		$780.80	$1,375.60	$2,860.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,275.00 / $2,066.54	Facility		$319.00	$1,275.00	$2,066.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $918.46 / $1,069.68 / $1,600.83	Professional		$918.46	$1,069.68	$1,600.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.95 / $771.13 / $1,452.42	Professional		$632.95	$771.13	$1,452.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $904.73 / $7,227.90	Facility		$555.00	$904.73	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,450.00 / $2,860.00	Professional		$812.83	$1,450.00	$2,860.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.60 / $1,101.52 / $2,075.65	Professional		$774.60	$1,101.52	$2,075.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $907.21 / $907.21 / $2,556.21	Facility		$907.21	$907.21	$2,556.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $687.56 / $956.25 / $1,676.77	Professional		$687.56	$956.25	$1,676.77