Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.07 / $4,910.00 / $11,396.00	Facility		$621.07	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.86 / $679.38 / $1,476.79	Professional		$563.86	$679.38	$1,476.79
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 $424.91 / $555.44 / $1,302.44	Professional		$424.91	$555.44	$1,302.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $714.74 / $714.74 / $37,499.62	Facility		$714.74	$714.74	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $714.74 / $714.74 / $714.74	Professional		$714.74	$714.74	$714.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.54 / $574.54 / $7,227.90	Facility		$574.54	$574.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.33 / $897.65 / $1,853.35	Professional		$520.33	$897.65	$1,853.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $708.00 / $1,326.67	Facility		$319.00	$708.00	$1,326.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $530.66 / $707.56 / $1,020.06	Professional		$530.66	$707.56	$1,020.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.07 / $551.85 / $812.68	Professional		$441.07	$551.85	$812.68
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 $532.14 / $881.42 / $1,853.35	Professional		$532.14	$881.42	$1,853.35
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 $483.05 / $687.18 / $1,544.79	Professional		$483.05	$687.18	$1,544.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $627.28 / $627.28 / $1,110.70	Facility		$627.28	$627.28	$1,110.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $460.05 / $627.28 / $1,039.98	Professional		$460.05	$627.28	$1,039.98