Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.54 / $2,865.00 / $10,152.00	Facility		$471.54	$2,865.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.89 / $487.90 / $921.07	Professional		$329.89	$487.90	$921.07
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 $368.16 / $473.97 / $1,117.02	Professional		$368.16	$473.97	$1,117.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $532.73 / $532.73 / $6,213.00	Facility		$532.73	$532.73	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $532.73 / $532.73 / $724.67	Professional		$532.73	$532.73	$724.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.74 / $620.74 / $620.74	Facility		$620.74	$620.74	$620.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.82 / $615.63 / $1,240.18	Professional		$268.82	$615.63	$1,240.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $419.15 / $963.74	Facility		$302.00	$419.15	$963.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $569.82 / $672.36 / $1,383.94	Professional		$569.82	$672.36	$1,383.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.41 / $520.67 / $900.71	Professional		$409.41	$520.67	$900.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $620.74 / $74,999.25	Facility		$555.00	$620.74	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $663.64 / $1,435.87	Professional		$299.97	$663.64	$1,435.87
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 $338.93 / $622.66 / $1,371.91	Professional		$338.93	$622.66	$1,371.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $399.33 / $399.33 / $1,274.75	Facility		$399.33	$399.33	$1,274.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $399.33 / $534.86 / $1,148.06	Professional		$399.33	$534.86	$1,148.06