Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.96 / $4,648.00 / $10,965.00	Facility		$529.96	$4,648.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.05 / $533.60 / $965.14	Professional		$435.05	$533.60	$965.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,407.00 / $5,434.00 / $12,168.00	Facility		$3,407.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.70 / $432.30 / $988.90	Professional		$330.70	$432.30	$988.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $558.90 / $2,390.00 / $10,957.50	Facility		$558.90	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $558.90 / $558.90 / $558.90	Professional		$558.90	$558.90	$558.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.64 / $13,296.25 / $76,894.00	Facility		$450.64	$13,296.25	$76,894.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.05 / $655.08 / $1,429.68	Professional		$392.05	$655.08	$1,429.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $607.00 / $5,714.00	Facility		$332.00	$607.00	$5,714.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.60 / $560.79 / $808.48	Professional		$420.60	$560.79	$808.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.62 / $541.23 / $717.65	Professional		$308.62	$541.23	$717.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $450.64 / $13,296.25 / $76,894.00	Facility		$450.64	$13,296.25	$76,894.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $411.19 / $710.61 / $1,558.62	Professional		$411.19	$710.61	$1,558.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.54 / $508.55 / $1,206.63	Professional		$394.54	$508.55	$1,206.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $702.72 / $717.65 / $805.67	Facility		$702.72	$717.65	$805.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $308.62 / $569.39 / $805.67	Professional		$308.62	$569.39	$805.67