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 $286.52 / $368.35 / $409.22	Professional		$286.52	$368.35	$409.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.22 / $499.50 / $827.91	Professional		$402.22	$499.50	$827.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $435.57 / $5,064.50 / $15,193.50	Facility		$435.57	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $435.57 / $435.57 / $435.57	Professional		$435.57	$435.57	$435.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.20 / $488.20 / $7,227.90	Facility		$488.20	$488.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.50 / $2,033.08 / $2,033.08	Professional		$407.50	$2,033.08	$2,033.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $619.79 / $40,501.00	Facility		$319.00	$619.79	$40,501.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $305.76 / $507.10 / $870.78	Professional		$305.76	$507.10	$870.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.63 / $563.45 / $728.72	Professional		$375.63	$563.45	$728.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $488.20 / $597.00 / $74,999.25	Facility		$488.20	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.50 / $2,033.08 / $2,033.08	Professional		$407.50	$2,033.08	$2,033.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $448.89 / $1,059.01	Professional		$327.44	$448.89	$1,059.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $375.63 / $375.63 / $375.63	Facility		$375.63	$375.63	$375.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $375.63 / $575.51 / $788.02	Professional		$375.63	$575.51	$788.02