Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.01 / $3,917.00 / $9,523.00	Facility		$428.01	$3,917.00	$9,523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.14 / $417.10 / $819.48	Professional		$278.14	$417.10	$819.48
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 $316.66 / $400.24 / $981.15	Professional		$316.66	$400.24	$981.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $492.36 / $1,990.00 / $8,917.50	Facility		$492.36	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $492.36 / $492.36 / $725.83	Professional		$492.36	$492.36	$725.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.78 / $591.78 / $591.78	Facility		$591.78	$591.78	$591.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.48 / $559.27 / $1,219.80	Professional		$268.48	$559.27	$1,219.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $269.00 / $371.00 / $917.21	Facility		$269.00	$371.00	$917.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $595.41 / $690.15 / $1,463.28	Professional		$595.41	$690.15	$1,463.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.81 / $471.01 / $935.22	Professional		$376.81	$471.01	$935.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $591.78 / $74,999.25	Facility		$555.00	$591.78	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $341.63 / $611.49 / $1,276.81	Professional		$341.63	$611.49	$1,276.81
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 $343.72 / $588.76 / $1,176.07	Professional		$343.72	$588.76	$1,176.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.56 / $371.56 / $1,237.22	Facility		$371.56	$371.56	$1,237.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.56 / $543.36 / $1,094.46	Professional		$371.56	$543.36	$1,094.46