Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.36 / $4,043.00 / $10,296.00	Facility		$579.36	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.62 / $652.70 / $1,131.66	Professional		$536.62	$652.70	$1,131.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.21 / $533.62 / $1,206.93	Professional		$408.21	$533.62	$1,206.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $686.23 / $686.23 / $37,499.62	Facility		$686.23	$686.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $686.23 / $686.23 / $686.23	Professional		$686.23	$686.23	$686.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $552.54 / $7,227.90	Facility		$552.54	$552.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.94 / $840.06 / $1,776.54	Professional		$499.94	$840.06	$1,776.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $668.00 / $2,814.81	Facility		$332.00	$668.00	$2,814.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $509.72 / $679.63 / $979.80	Professional		$509.72	$679.63	$979.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.63 / $512.74 / $822.42	Professional		$412.63	$512.74	$822.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $597.00 / $74,999.25	Facility		$552.54	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $507.98 / $827.73 / $1,746.62	Professional		$507.98	$827.73	$1,746.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.84 / $641.44 / $1,531.52	Professional		$491.84	$641.44	$1,531.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $603.22 / $603.22 / $1,039.08	Facility		$603.22	$603.22	$1,039.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $441.93 / $603.22 / $1,000.09	Professional		$441.93	$603.22	$1,000.09