Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.26 / $2,865.00 / $10,152.00	Facility		$401.26	$2,865.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $405.25 / $792.69	Professional		$312.73	$405.25	$792.69
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 $318.20 / $401.99 / $951.10	Professional		$318.20	$401.99	$951.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $496.85 / $496.85 / $4,050.00	Facility		$496.85	$496.85	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $496.85 / $496.85 / $644.39	Professional		$496.85	$496.85	$644.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.12 / $599.12 / $599.12	Facility		$599.12	$599.12	$599.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $539.54 / $1,169.29	Professional		$266.64	$539.54	$1,169.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $381.78 / $928.22	Facility		$260.00	$381.78	$928.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $529.75 / $625.01 / $1,286.47	Professional		$529.75	$625.01	$1,286.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.84 / $445.65 / $836.13	Professional		$337.84	$445.65	$836.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $599.12 / $74,999.25	Facility		$555.00	$599.12	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $276.79 / $585.67 / $1,244.96	Professional		$276.79	$585.67	$1,244.96
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 $308.75 / $511.56 / $1,113.83	Professional		$308.75	$511.56	$1,113.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $383.77 / $383.77 / $1,043.19	Facility		$383.77	$383.77	$1,043.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $337.84 / $485.79 / $1,065.74	Professional		$337.84	$485.79	$1,065.74