Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.89 / $4,905.00 / $11,719.00	Facility		$491.89	$4,905.00	$11,719.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.76 / $1,397.24 / $3,077.49	Professional		$309.76	$1,397.24	$3,077.49
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 $1,456.18 / $1,862.64 / $4,709.91	Professional		$1,456.18	$1,862.64	$4,709.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $503.96 / $503.96 / $12,319.50	Facility		$503.96	$503.96	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $503.96 / $503.96 / $2,619.54	Professional		$503.96	$503.96	$2,619.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.94 / $600.94 / $39,142.00	Facility		$600.94	$600.94	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.02 / $1,777.24 / $5,719.01	Professional		$378.02	$1,777.24	$5,719.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $440.00 / $915.53	Facility		$319.00	$440.00	$915.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,662.97 / $2,127.15 / $3,196.59	Professional		$1,662.97	$2,127.15	$3,196.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,432.48 / $1,969.98 / $3,015.80	Professional		$1,432.48	$1,969.98	$3,015.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $600.94 / $39,142.00	Facility		$597.00	$600.94	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $453.90 / $2,168.67 / $5,829.85	Professional		$453.90	$2,168.67	$5,829.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,760.40 / $2,544.16 / $5,124.85	Professional		$1,760.40	$2,544.16	$5,124.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $404.12 / $404.12 / $1,267.49	Facility		$404.12	$404.12	$1,267.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,118.83 / $1,969.98 / $3,312.41	Professional		$1,118.83	$1,969.98	$3,312.41