Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.68 / $3,419.00 / $8,442.00	Facility		$768.68	$3,419.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.83 / $624.71 / $1,415.35	Professional		$535.83	$624.71	$1,415.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.48 / $680.95 / $1,397.25	Professional		$560.48	$680.95	$1,397.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $899.31 / $1,716.00 / $6,213.00	Facility		$899.31	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $899.31 / $899.31 / $1,001.96	Professional		$899.31	$899.31	$1,001.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.92 / $1,084.92 / $1,084.92	Facility		$1,084.92	$1,084.92	$1,084.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.28 / $902.09 / $1,987.87	Professional		$470.28	$902.09	$1,987.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $687.34 / $1,723.10	Facility		$332.00	$687.34	$1,723.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $830.46 / $962.57 / $2,072.80	Professional		$830.46	$962.57	$2,072.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.80 / $664.99 / $1,291.53	Professional		$568.80	$664.99	$1,291.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,084.92 / $74,999.25	Facility		$555.00	$1,084.92	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $521.03 / $931.44 / $2,104.46	Professional		$521.03	$931.44	$2,104.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,670.00 / $7,203.00	Facility		$1,883.00	$3,670.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.17 / $790.60 / $1,853.91	Professional		$473.17	$790.60	$1,853.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $680.24 / $680.24 / $2,151.60	Facility		$680.24	$680.24	$2,151.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $576.70 / $690.65 / $1,914.58	Professional		$576.70	$690.65	$1,914.58