Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.16 / $4,778.00 / $10,965.00	Facility		$520.16	$4,778.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.95 / $515.28 / $822.44	Professional		$402.95	$515.28	$822.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,252.00 / $13,431.00 / $158,862.00	Facility		$5,252.00	$13,431.00	$158,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $420.31 / $893.30	Professional		$321.52	$420.31	$893.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $539.27 / $2,390.00 / $16,534.50	Facility		$539.27	$2,390.00	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $539.27 / $539.27 / $539.27	Professional		$539.27	$539.27	$539.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $98,333.00 / $129,140.00	Facility		$7,227.90	$98,333.00	$129,140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.95 / $672.16 / $1,362.54	Professional		$384.95	$672.16	$1,362.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $566.00 / $5,714.00	Facility		$332.00	$566.00	$5,714.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $391.64 / $522.17 / $752.81	Professional		$391.64	$522.17	$752.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.19 / $450.07 / $633.30	Professional		$197.19	$450.07	$633.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $89,249.00 / $129,140.00	Facility		$555.00	$89,249.00	$129,140.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $396.17 / $607.60 / $1,341.82	Professional		$396.17	$607.60	$1,341.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,846.00 / $17,072.00 / $69,294.00	Facility		$2,846.00	$17,072.00	$69,294.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.61 / $488.81 / $1,171.03	Professional		$383.61	$488.81	$1,171.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $667.09 / $667.09 / $1,271.11	Facility		$667.09	$667.09	$1,271.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $197.19 / $535.10 / $928.12	Professional		$197.19	$535.10	$928.12