Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.52 / $4,663.00 / $10,024.00	Facility		$820.52	$4,663.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.64 / $575.44 / $1,227.33	Professional		$439.64	$575.44	$1,227.33
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 $467.85 / $581.00 / $1,324.16	Professional		$467.85	$581.00	$1,324.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $862.71 / $1,990.00 / $8,917.50	Facility		$862.71	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $862.71 / $862.71 / $862.71	Professional		$862.71	$862.71	$862.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.53 / $720.53 / $720.53	Facility		$720.53	$720.53	$720.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.48 / $807.89 / $1,971.24	Professional		$413.48	$807.89	$1,971.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $332.00 / $1,688.85	Facility		$197.00	$332.00	$1,688.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $873.55 / $1,853.98	Professional		$750.60	$873.55	$1,853.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.59 / $597.53 / $1,176.74	Professional		$451.59	$597.53	$1,176.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $720.53 / $74,999.25	Facility		$555.00	$720.53	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $522.53 / $824.27 / $1,863.30	Professional		$522.53	$824.27	$1,863.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,840.00 / $9,416.00	Facility		$1,925.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.95 / $662.12 / $1,607.16	Professional		$387.95	$662.12	$1,607.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $683.68 / $683.68 / $1,902.21	Facility		$683.68	$683.68	$1,902.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $451.59 / $683.68 / $1,638.61	Professional		$451.59	$683.68	$1,638.61