Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.01 / $4,910.00 / $11,396.00	Facility		$608.01	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.21 / $664.88 / $1,228.82	Professional		$569.21	$664.88	$1,228.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.47 / $556.17 / $1,194.66	Professional		$425.47	$556.17	$1,194.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $700.30 / $700.30 / $37,499.62	Facility		$700.30	$700.30	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $700.30 / $700.30 / $700.30	Professional		$700.30	$700.30	$700.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.24 / $562.24 / $7,227.90	Facility		$562.24	$562.24	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.61 / $860.59 / $1,841.53	Professional		$506.61	$860.59	$1,841.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $866.97 / $3,950.38	Facility		$332.00	$866.97	$3,950.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $520.17 / $693.58 / $999.91	Professional		$520.17	$693.58	$999.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $470.20 / $795.59	Professional		$359.44	$470.20	$795.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $515.05 / $842.41 / $1,841.53	Professional		$515.05	$842.41	$1,841.53
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 $472.90 / $647.55 / $1,527.01	Professional		$472.90	$647.55	$1,527.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $613.49 / $613.49 / $1,964.69	Facility		$613.49	$613.49	$1,964.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $701.24 / $1,225.77	Professional		$359.44	$701.24	$1,225.77