Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $3,513.43 / $7,521.00	Facility		$240.34	$3,513.43	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $2,742.13 / $4,941.79	Professional		$163.36	$2,742.13	$4,941.79
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 $2,331.85 / $3,007.33 / $7,839.56	Professional		$2,331.85	$3,007.33	$7,839.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $243.98 / $243.98 / $5,148.00	Facility		$243.98	$243.98	$5,148.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $243.98 / $243.98 / $4,261.25	Professional		$243.98	$243.98	$4,261.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.38 / $295.38 / $13,296.25	Facility		$295.38	$295.38	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.01 / $2,196.63 / $9,449.31	Professional		$204.01	$2,196.63	$9,449.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.52 / $299.45 / $610.00	Facility		$194.52	$299.45	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,673.63 / $3,412.63 / $5,139.31	Professional		$2,673.63	$3,412.63	$5,139.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,242.09 / $2,830.03 / $4,863.91	Professional		$2,242.09	$2,830.03	$4,863.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $295.38 / $555.00 / $13,296.25	Facility		$295.38	$555.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $248.86 / $3,407.12 / $9,831.32	Professional		$248.86	$3,407.12	$9,831.32
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 $2,082.42 / $4,089.73 / $10,260.28	Professional		$2,082.42	$4,089.73	$10,260.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $184.41 / $184.41 / $258.89	Facility		$184.41	$184.41	$258.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $548.09 / $2,756.09 / $4,863.91	Professional		$548.09	$2,756.09	$4,863.91