Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.61 / $4,910.00 / $11,396.00	Facility		$596.61	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.91 / $652.70 / $1,187.40	Professional		$531.91	$652.70	$1,187.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.21 / $533.62 / $1,216.44	Professional		$408.21	$533.62	$1,216.44
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 $487.06 / $804.97 / $1,745.00	Professional		$487.06	$804.97	$1,745.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $638.00 / $1,274.31	Facility		$319.00	$638.00	$1,274.31
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 $382.19 / $497.51 / $822.42	Professional		$382.19	$497.51	$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 $505.48 / $794.64 / $1,706.71	Professional		$505.48	$794.64	$1,706.71
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 $486.12 / $633.11 / $1,531.52	Professional		$486.12	$633.11	$1,531.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $603.22 / $603.22 / $1,001.31	Facility		$603.22	$603.22	$1,001.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $584.88 / $1,000.09	Professional		$382.19	$584.88	$1,000.09