Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.45 / $3,951.00 / $9,038.00	Facility		$713.45	$3,951.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.99 / $575.40 / $1,061.60	Professional		$566.99	$575.40	$1,061.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $4,233.00 / $9,153.00	Facility		$2,402.00	$4,233.00	$9,153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.27 / $535.15 / $1,310.99	Professional		$415.27	$535.15	$1,310.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $818.88 / $818.88 / $37,499.62	Facility		$818.88	$818.88	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $818.88 / $818.88 / $818.88	Professional		$818.88	$818.88	$818.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $671.11 / $671.11 / $7,227.90	Facility		$671.11	$671.11	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.79 / $933.53 / $2,196.98	Professional		$617.79	$933.53	$2,196.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,070.00 / $1,712.00	Facility		$319.00	$1,070.00	$1,712.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $697.29 / $786.73 / $1,231.79	Professional		$697.29	$786.73	$1,231.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.21 / $637.11 / $1,072.08	Professional		$457.21	$637.11	$1,072.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $671.11 / $7,227.90	Facility		$555.00	$671.11	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $660.29 / $1,000.00 / $2,069.98	Professional		$660.29	$1,000.00	$2,069.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,754.00 / $12,945.00	Facility		$1,749.00	$4,754.00	$12,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.02 / $766.07 / $1,693.22	Professional		$543.02	$766.07	$1,693.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $637.11 / $637.11 / $1,900.22	Facility		$637.11	$637.11	$1,900.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $705.35 / $1,237.68	Professional		$477.10	$705.35	$1,237.68