Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.18 / $4,392.00 / $10,024.00	Facility		$792.18	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.87 / $647.28 / $1,206.15	Professional		$563.87	$647.28	$1,206.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.35 / $633.14 / $1,482.86	Professional		$484.35	$633.14	$1,482.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $875.63 / $1,990.00 / $8,917.50	Facility		$875.63	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $875.63 / $875.63 / $875.63	Professional		$875.63	$875.63	$875.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,802.85 / $1,802.85 / $1,981.35	Professional		$1,802.85	$1,802.85	$1,981.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $900.00 / $1,670.96	Facility		$332.00	$900.00	$1,670.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $683.33 / $970.26 / $1,433.31	Professional		$683.33	$970.26	$1,433.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.79 / $586.79 / $586.79	Facility		$586.79	$586.79	$586.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.40 / $747.65 / $1,318.87	Professional		$508.40	$747.65	$1,318.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $670.03 / $904.98 / $1,884.62	Professional		$670.03	$904.98	$1,884.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,136.00 / $15,063.00	Facility		$2,264.00	$6,136.00	$15,063.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.96 / $815.69 / $1,941.47	Professional		$552.96	$815.69	$1,941.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $747.65 / $747.65 / $2,831.89	Facility		$747.65	$747.65	$2,831.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $521.21 / $817.77 / $1,580.40	Professional		$521.21	$817.77	$1,580.40