Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.18 / $3,996.00 / $10,296.00	Facility		$738.18	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.29 / $738.18 / $1,215.61	Professional		$541.29	$738.18	$1,215.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.79 / $621.95 / $1,651.04	Professional		$475.79	$621.95	$1,651.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $877.67 / $877.67 / $10,957.50	Facility		$877.67	$877.67	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $877.67 / $877.67 / $877.67	Professional		$877.67	$877.67	$877.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.69 / $706.69 / $7,227.90	Facility		$706.69	$706.69	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.40 / $1,034.09 / $2,234.27	Professional		$597.40	$1,034.09	$2,234.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,056.79 / $2,166.40	Facility		$319.00	$1,056.79	$2,166.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $719.30 / $837.35 / $1,253.13	Professional		$719.30	$837.35	$1,253.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.42 / $710.79 / $1,137.95	Professional		$506.42	$710.79	$1,137.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $706.69 / $7,227.90	Facility		$555.00	$706.69	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $625.83 / $1,106.60 / $2,302.59	Professional		$625.83	$1,106.60	$2,302.59
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 $591.89 / $855.75 / $1,754.15	Professional		$591.89	$855.75	$1,754.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $710.79 / $710.79 / $1,936.08	Facility		$710.79	$710.79	$1,936.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $533.58 / $750.72 / $1,313.73	Professional		$533.58	$750.72	$1,313.73