Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.79 / $4,442.00 / $10,024.00	Facility		$949.79	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.82 / $941.62 / $1,401.48	Professional		$624.82	$941.62	$1,401.48
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 $561.69 / $723.83 / $1,785.60	Professional		$561.69	$723.83	$1,785.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,014.91 / $1,014.91 / $37,499.62	Facility		$1,014.91	$1,014.91	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,014.91 / $1,014.91 / $1,014.91	Professional		$1,014.91	$1,014.91	$1,014.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.89 / $816.89 / $7,227.90	Facility		$816.89	$816.89	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.64 / $1,189.11 / $2,619.05	Professional		$698.64	$1,189.11	$2,619.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,171.00 / $1,873.60	Facility		$319.00	$1,171.00	$1,873.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $829.28 / $965.96 / $1,445.61	Professional		$829.28	$965.96	$1,445.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.92 / $696.98 / $1,312.76	Professional		$598.92	$696.98	$1,312.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $816.89 / $7,227.90	Facility		$555.00	$816.89	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $744.11 / $1,212.94 / $2,619.05	Professional		$744.11	$1,212.94	$2,619.05
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 $676.27 / $983.41 / $2,050.46	Professional		$676.27	$983.41	$2,050.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $819.98 / $819.98 / $2,117.77	Facility		$819.98	$819.98	$2,117.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $604.76 / $866.04 / $1,515.54	Professional		$604.76	$866.04	$1,515.54