Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.54 / $4,910.00 / $11,396.00	Facility		$683.54	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.59 / $766.00 / $1,385.32	Professional		$601.59	$766.00	$1,385.32
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 $493.44 / $612.76 / $1,339.91	Professional		$493.44	$612.76	$1,339.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $801.11 / $801.11 / $801.11	Facility		$801.11	$801.11	$801.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $801.11 / $801.11 / $801.11	Professional		$801.11	$801.11	$801.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.53 / $651.53 / $7,227.90	Facility		$651.53	$651.53	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.14 / $1,007.60 / $2,065.71	Professional		$569.14	$1,007.60	$2,065.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,003.86 / $4,328.68	Facility		$332.00	$1,003.86	$4,328.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.32 / $803.09 / $1,157.79	Professional		$602.32	$803.09	$1,157.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.11 / $584.59 / $922.84	Professional		$447.11	$584.59	$922.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $651.53 / $74,999.25	Facility		$555.00	$651.53	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $550.75 / $921.17 / $1,997.91	Professional		$550.75	$921.17	$1,997.91
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 $579.54 / $757.48 / $1,775.38	Professional		$579.54	$757.48	$1,775.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $713.89 / $713.89 / $809.04	Facility		$713.89	$713.89	$809.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $447.11 / $713.89 / $1,126.04	Professional		$447.11	$713.89	$1,126.04