Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.51 / $3,316.00 / $8,020.00	Facility		$424.51	$3,316.00	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.31 / $413.61 / $837.80	Professional		$275.31	$413.61	$837.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.88 / $442.27 / $981.23	Professional		$303.88	$442.27	$981.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $444.58 / $1,716.00 / $6,213.00	Facility		$444.58	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $444.58 / $444.58 / $715.77	Professional		$444.58	$444.58	$715.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $537.02 / $537.02	Facility		$537.02	$537.02	$537.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.49 / $559.92 / $1,208.45	Professional		$266.49	$559.92	$1,208.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $249.00 / $342.33 / $856.60	Facility		$249.00	$342.33	$856.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.67 / $682.33 / $1,457.10	Professional		$588.67	$682.33	$1,457.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.10 / $488.09 / $917.27	Professional		$353.10	$488.09	$917.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $555.00 / $74,999.25	Facility		$537.02	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $352.54 / $630.71 / $1,359.24	Professional		$352.54	$630.71	$1,359.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.59 / $589.91 / $1,227.11	Professional		$329.59	$589.91	$1,227.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $338.46 / $338.46 / $1,027.43	Facility		$338.46	$338.46	$1,027.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $343.38 / $532.92 / $1,047.98	Professional		$343.38	$532.92	$1,047.98