Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.19 / $5,845.00 / $14,113.00	Facility		$552.19	$5,845.00	$14,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.80 / $491.45 / $866.68	Professional		$413.80	$491.45	$866.68
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 $307.62 / $402.12 / $919.11	Professional		$307.62	$402.12	$919.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $513.01 / $5,064.50 / $15,193.50	Facility		$513.01	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $513.01 / $513.01 / $513.01	Professional		$513.01	$513.01	$513.01
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 $367.94 / $669.31 / $1,320.56	Professional		$367.94	$669.31	$1,320.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $943.36 / $5,714.00	Facility		$332.00	$943.36	$5,714.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $377.34 / $503.12 / $725.34	Professional		$377.34	$503.12	$725.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.47 / $484.54 / $656.92	Professional		$298.47	$484.54	$656.92
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 $378.84 / $669.31 / $1,320.56	Professional		$378.84	$669.31	$1,320.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,857.00 / $17,072.00 / $69,294.00	Facility		$2,857.00	$17,072.00	$69,294.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.13 / $484.02 / $1,081.83	Professional		$360.13	$484.02	$1,081.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $656.92 / $656.92 / $2,359.44	Facility		$656.92	$656.92	$2,359.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $324.10 / $526.95 / $913.98	Professional		$324.10	$526.95	$913.98