Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.88 / $3,621.00 / $8,442.00	Facility		$421.88	$3,621.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.55 / $421.89 / $935.47	Professional		$279.55	$421.89	$935.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.22 / $445.06 / $1,019.79	Professional		$317.22	$445.06	$1,019.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $461.75 / $1,716.00 / $6,213.00	Facility		$461.75	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $461.75 / $461.75 / $749.65	Professional		$461.75	$461.75	$749.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.74 / $563.74 / $563.74	Facility		$563.74	$563.74	$563.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $579.77 / $1,249.25	Professional		$270.30	$579.77	$1,249.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $232.00 / $359.17 / $891.23	Facility		$232.00	$359.17	$891.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $715.66 / $1,520.06	Professional		$615.41	$715.66	$1,520.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.75 / $490.92 / $965.18	Professional		$369.75	$490.92	$965.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $563.74 / $74,999.25	Facility		$555.00	$563.74	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $276.02 / $639.24 / $1,371.08	Professional		$276.02	$639.24	$1,371.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,840.00 / $9,416.00	Facility		$1,925.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.94 / $605.14 / $1,311.40	Professional		$332.94	$605.14	$1,311.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $355.67 / $355.67 / $955.46	Facility		$355.67	$355.67	$955.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $369.75 / $516.14 / $1,102.72	Professional		$369.75	$516.14	$1,102.72