Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.93 / $4,910.00 / $11,396.00	Facility		$718.93	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.37 / $810.76 / $1,491.96	Professional		$651.37	$810.76	$1,491.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.55 / $675.25 / $1,442.23	Professional		$516.55	$675.25	$1,442.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $875.24 / $875.24 / $37,499.62	Facility		$875.24	$875.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $875.24 / $875.24 / $875.24	Professional		$875.24	$875.24	$875.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.52 / $685.52 / $7,227.90	Facility		$685.52	$685.52	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.19 / $1,032.99 / $2,280.15	Professional		$615.19	$1,032.99	$2,280.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $790.00 / $3,501.61	Facility		$332.00	$790.00	$3,501.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $634.10 / $845.46 / $1,218.86	Professional		$634.10	$845.46	$1,218.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.46 / $571.04 / $1,019.72	Professional		$441.46	$571.04	$1,019.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $43,175.00	Facility		$555.00	$7,227.90	$43,175.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $628.42 / $1,016.80 / $2,185.53	Professional		$628.42	$1,016.80	$2,185.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.84 / $808.07 / $1,959.69	Professional		$610.84	$808.07	$1,959.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $747.94 / $747.94 / $1,325.26	Facility		$747.94	$747.94	$1,325.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $441.46 / $854.77 / $1,240.02	Professional		$441.46	$854.77	$1,240.02