Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,298.00 / $10,170.00	Facility		$1,819.00	$5,298.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.63 / $523.77 / $675.53	Professional		$263.63	$523.77	$675.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.21 / $1,168.69 / $2,158.91	Professional		$970.21	$1,168.69	$2,158.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $498.15 / $498.15 / $16,534.50	Facility		$498.15	$498.15	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $498.15 / $498.15 / $498.15	Professional		$498.15	$498.15	$498.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.50 / $436.50 / $436.50	Facility		$436.50	$436.50	$436.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,992.54 / $1,992.54 / $1,992.54	Professional		$1,992.54	$1,992.54	$1,992.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $509.95 / $950.33	Facility		$319.00	$509.95	$950.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $301.07 / $487.23 / $851.23	Professional		$301.07	$487.23	$851.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.02 / $537.41 / $864.97	Professional		$346.02	$537.41	$864.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.50 / $555.00 / $74,999.25	Facility		$436.50	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,992.54 / $1,992.54 / $1,992.54	Professional		$1,992.54	$1,992.54	$1,992.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,403.00 / $5,547.00 / $11,435.00	Facility		$2,403.00	$5,547.00	$11,435.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $447.02 / $914.04	Professional		$312.20	$447.02	$914.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $514.07 / $557.44 / $557.44	Facility		$514.07	$557.44	$557.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $333.43 / $557.44 / $864.97	Professional		$333.43	$557.44	$864.97