Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.91 / $3,499.00 / $8,442.00	Facility		$559.91	$3,499.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.36 / $506.50 / $1,068.60	Professional		$386.36	$506.50	$1,068.60
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 $411.99 / $515.54 / $1,138.35	Professional		$411.99	$515.54	$1,138.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $647.90 / $1,716.00 / $6,213.00	Facility		$647.90	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $647.90 / $647.90 / $843.65	Professional		$647.90	$647.90	$843.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.02 / $771.02 / $771.02	Facility		$771.02	$771.02	$771.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.60 / $664.58 / $1,482.93	Professional		$346.60	$664.58	$1,482.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $493.42 / $1,214.33	Facility		$305.00	$493.42	$1,214.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $688.77 / $798.35 / $1,688.74	Professional		$688.77	$798.35	$1,688.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.90 / $546.86 / $1,081.48	Professional		$427.90	$546.86	$1,081.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $771.02 / $74,999.25	Facility		$555.00	$771.02	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.60 / $740.84 / $1,633.75	Professional		$346.60	$740.84	$1,633.75
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.64 / $687.95 / $1,514.93	Professional		$366.64	$687.95	$1,514.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $490.54 / $490.54 / $1,269.64	Facility		$490.54	$490.54	$1,269.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $427.90 / $628.34 / $1,378.47	Professional		$427.90	$628.34	$1,378.47