Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.09 / $4,452.00 / $10,152.00	Facility		$951.09	$4,452.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $914.12 / $1,399.91	Professional		$624.66	$914.12	$1,399.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.01 / $724.20 / $1,765.53	Professional		$554.01	$724.20	$1,765.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,015.02 / $1,015.02 / $12,319.50	Facility		$1,015.02	$1,015.02	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,015.02 / $1,015.02 / $1,015.02	Professional		$1,015.02	$1,015.02	$1,015.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.90 / $816.90 / $7,227.90	Facility		$816.90	$816.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.72 / $1,239.59 / $2,582.51	Professional		$698.72	$1,239.59	$2,582.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,000.00 / $1,863.79	Facility		$319.00	$1,000.00	$1,863.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $828.35 / $965.21 / $1,444.48	Professional		$828.35	$965.21	$1,444.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.76 / $696.44 / $1,311.74	Professional		$583.76	$696.44	$1,311.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $816.90 / $7,227.90	Facility		$555.00	$816.90	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $740.82 / $1,234.24 / $2,582.51	Professional		$740.82	$1,234.24	$2,582.51
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 $680.32 / $987.91 / $2,046.21	Professional		$680.32	$987.91	$2,046.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $819.34 / $819.34 / $2,352.96	Facility		$819.34	$819.34	$2,352.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $623.64 / $865.36 / $1,514.36	Professional		$623.64	$865.36	$1,514.36