Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,601.00 / $11,220.00	Facility		$1,819.00	$5,601.00	$11,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.94 / $548.58 / $646.16	Professional		$342.94	$548.58	$646.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.49 / $581.87 / $966.35	Professional		$469.49	$581.87	$966.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $687.75 / $5,064.50 / $15,193.50	Facility		$687.75	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $687.75 / $687.75 / $687.75	Professional		$687.75	$687.75	$687.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.88 / $582.88 / $7,227.90	Facility		$582.88	$582.88	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.10 / $2,427.54 / $2,427.54	Professional		$487.10	$2,427.54	$2,427.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $768.36 / $40,501.00	Facility		$319.00	$768.36	$40,501.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $379.20 / $628.65 / $1,080.68	Professional		$379.20	$628.65	$1,080.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.67 / $698.51 / $903.40	Professional		$465.67	$698.51	$903.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $487.10 / $2,427.54 / $2,427.54	Professional		$487.10	$2,427.54	$2,427.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,846.00 / $14,155.00 / $52,250.00	Facility		$2,846.00	$14,155.00	$52,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.09 / $651.39 / $1,608.38	Professional		$492.09	$651.39	$1,608.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $465.67	Facility		$465.67	$465.67	$465.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $465.67 / $713.46 / $976.91	Professional		$465.67	$713.46	$976.91