Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.84 / $4,043.00 / $10,296.00	Facility		$490.84	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.71 / $550.26 / $1,063.35	Professional		$452.71	$550.26	$1,063.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.30 / $447.46 / $1,008.21	Professional		$342.30	$447.46	$1,008.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $579.42 / $579.42 / $37,499.62	Facility		$579.42	$579.42	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $579.42 / $579.42 / $579.42	Professional		$579.42	$579.42	$579.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.84 / $468.84 / $7,227.90	Facility		$468.84	$468.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.41 / $710.52 / $1,506.20	Professional		$408.41	$710.52	$1,506.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $628.29 / $2,578.10	Facility		$332.00	$628.29	$2,578.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $434.98 / $579.97 / $836.13	Professional		$434.98	$579.97	$836.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.35 / $394.14 / $696.38	Professional		$278.35	$394.14	$696.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $468.84 / $597.00 / $74,999.25	Facility		$468.84	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $405.14 / $671.66 / $1,506.20	Professional		$405.14	$671.66	$1,506.20
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 $415.69 / $554.27 / $1,294.51	Professional		$415.69	$554.27	$1,294.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $510.78 / $510.78 / $1,459.14	Facility		$510.78	$510.78	$1,459.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $278.35 / $581.75 / $1,020.56	Professional		$278.35	$581.75	$1,020.56