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 $241.53 / $358.48 / $422.24	Professional		$241.53	$358.48	$422.24
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 $361.06 / $448.38 / $743.17	Professional		$361.06	$448.38	$743.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $449.40 / $5,064.50 / $15,193.50	Facility		$449.40	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $449.40 / $449.40 / $449.40	Professional		$449.40	$449.40	$449.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.94 / $409.94 / $7,227.90	Facility		$409.94	$409.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.58 / $1,707.20 / $1,707.20	Professional		$342.58	$1,707.20	$1,707.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $574.15 / $40,501.00	Facility		$319.00	$574.15	$40,501.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $444.54 / $764.05	Professional		$268.14	$444.54	$764.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.29 / $493.94 / $638.82	Professional		$329.29	$493.94	$638.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $409.94 / $597.00 / $74,999.25	Facility		$409.94	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $342.58 / $1,707.20 / $1,707.20	Professional		$342.58	$1,707.20	$1,707.20
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 $322.95 / $435.49 / $1,115.67	Professional		$322.95	$435.49	$1,115.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $329.29 / $329.29 / $329.29	Facility		$329.29	$329.29	$329.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $329.29 / $504.51 / $690.80	Professional		$329.29	$504.51	$690.80