Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.88 / $4,905.00 / $10,965.00	Facility		$488.88	$4,905.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.97 / $463.36 / $952.55	Professional		$331.97	$463.36	$952.55
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 $382.07 / $467.03 / $1,039.26	Professional		$382.07	$467.03	$1,039.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $528.89 / $2,644.00 / $12,319.50	Facility		$528.89	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $528.89 / $528.89 / $713.67	Professional		$528.89	$528.89	$713.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.84 / $679.84 / $679.84	Facility		$679.84	$679.84	$679.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.58 / $594.84 / $1,286.88	Professional		$302.58	$594.84	$1,286.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $277.00 / $436.08 / $1,074.13	Facility		$277.00	$436.08	$1,074.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $640.64 / $742.56 / $1,571.29	Professional		$640.64	$742.56	$1,571.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.96 / $505.50 / $1,000.66	Professional		$399.96	$505.50	$1,000.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $679.84 / $74,999.25	Facility		$555.00	$679.84	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $339.23 / $636.15 / $1,419.40	Professional		$339.23	$636.15	$1,419.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $4,176.00 / $8,133.00	Facility		$1,764.00	$4,176.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.38 / $608.21 / $1,232.16	Professional		$340.38	$608.21	$1,232.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $434.02 / $434.02 / $1,168.09	Facility		$434.02	$434.02	$1,168.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $399.96 / $581.38 / $1,275.46	Professional		$399.96	$581.38	$1,275.46