Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.94 / $6,617.00 / $15,890.00	Facility		$573.94	$6,617.00	$15,890.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.83 / $570.55 / $832.00	Professional		$443.83	$570.55	$832.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,294.00 / $19,351.80	Facility		$5,040.00	$10,294.00	$19,351.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.67 / $454.79 / $1,045.00	Professional		$358.67	$454.79	$1,045.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $591.98 / $591.98 / $591.98	Facility		$591.98	$591.98	$591.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $591.98 / $591.98 / $591.98	Professional		$591.98	$591.98	$591.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.96 / $7,227.90 / $45,917.00	Facility		$481.96	$7,227.90	$45,917.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.66 / $689.71 / $1,492.16	Professional		$410.66	$689.71	$1,492.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $709.58 / $2,880.89	Facility		$332.00	$709.58	$2,880.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $445.15 / $593.53 / $855.68	Professional		$445.15	$593.53	$855.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $428.43 / $682.49	Professional		$307.02	$428.43	$682.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $481.96 / $7,227.90 / $53,832.00	Facility		$481.96	$7,227.90	$53,832.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $389.80 / $647.23 / $1,459.37	Professional		$389.80	$647.23	$1,459.37
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 $427.88 / $552.41 / $1,265.03	Professional		$427.88	$552.41	$1,265.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $528.09 / $528.09 / $620.66	Facility		$528.09	$528.09	$620.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $528.09 / $832.97	Professional		$307.02	$528.09	$832.97