Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.80 / $5,630.00 / $12,400.00	Facility		$983.80	$5,630.00	$12,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.95 / $900.97 / $1,889.42	Professional		$637.95	$900.97	$1,889.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.01 / $692.03 / $1,819.35	Professional		$537.01	$692.03	$1,819.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,040.58 / $2,644.00 / $12,319.50	Facility		$1,040.58	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,040.58 / $1,040.58 / $1,040.58	Professional		$1,040.58	$1,040.58	$1,040.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.28 / $837.28 / $12,209.00	Facility		$837.28	$837.28	$12,209.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.45 / $1,254.21 / $2,644.03	Professional		$732.45	$1,254.21	$2,644.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,195.00 / $2,067.35	Facility		$332.00	$1,195.00	$2,067.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $849.09 / $1,031.47 / $1,476.27	Professional		$849.09	$1,031.47	$1,476.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $945.22 / $1,470.75	Professional		$595.91	$945.22	$1,470.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $837.28 / $12,209.00	Facility		$597.00	$837.28	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $761.40 / $1,254.21 / $2,721.99	Professional		$761.40	$1,254.21	$2,721.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $7,391.00 / $16,403.00	Facility		$2,444.00	$7,391.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.71 / $983.16 / $1,937.31	Professional		$653.71	$983.16	$1,937.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $836.40 / $836.40 / $2,649.10	Facility		$836.40	$836.40	$2,649.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $1,010.94 / $1,863.03	Professional		$595.91	$1,010.94	$1,863.03