Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.51 / $4,910.00 / $11,396.00	Facility		$662.51	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.98 / $709.30 / $1,488.16	Professional		$560.98	$709.30	$1,488.16
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 $516.84 / $655.35 / $1,390.14	Professional		$516.84	$655.35	$1,390.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $658.70 / $658.70 / $37,499.62	Facility		$658.70	$658.70	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $658.70 / $658.70 / $658.70	Professional		$658.70	$658.70	$658.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.19 / $510.19 / $7,227.90	Facility		$510.19	$510.19	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.79 / $957.07 / $2,141.86	Professional		$481.79	$957.07	$2,141.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $855.60 / $3,731.14	Facility		$332.00	$855.60	$3,731.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $471.00 / $628.00 / $905.36	Professional		$471.00	$628.00	$905.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.59 / $503.68 / $758.90	Professional		$397.59	$503.68	$758.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $510.19 / $597.00 / $74,999.25	Facility		$510.19	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $590.88 / $956.29 / $2,059.98	Professional		$590.88	$956.29	$2,059.98
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 $514.21 / $800.35 / $1,954.68	Professional		$514.21	$800.35	$1,954.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $556.63 / $556.63 / $1,359.75	Facility		$556.63	$556.63	$1,359.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $408.06 / $635.35 / $1,112.18	Professional		$408.06	$635.35	$1,112.18