Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.35 / $4,392.00 / $10,686.00	Facility		$705.35	$4,392.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.50 / $776.12 / $1,459.11	Professional		$654.50	$776.12	$1,459.11
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 $508.08 / $664.16 / $1,428.12	Professional		$508.08	$664.16	$1,428.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $900.64 / $900.64 / $8,917.50	Facility		$900.64	$900.64	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $900.64 / $900.64 / $900.64	Professional		$900.64	$900.64	$900.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.23 / $650.23 / $7,227.90	Facility		$650.23	$650.23	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.26 / $1,015.17 / $2,303.29	Professional		$614.26	$1,015.17	$2,303.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $672.08 / $3,340.24	Facility		$332.00	$672.08	$3,340.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $604.87 / $806.50 / $1,162.70	Professional		$604.87	$806.50	$1,162.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.46 / $602.86 / $967.29	Professional		$423.46	$602.86	$967.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $650.23 / $74,999.25	Facility		$555.00	$650.23	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $644.07 / $1,015.17 / $2,275.06	Professional		$644.07	$1,015.17	$2,275.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $813.30 / $2,199.54	Professional		$585.04	$813.30	$2,199.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $709.48 / $709.48 / $2,273.59	Facility		$709.48	$709.48	$2,273.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $423.46 / $809.45 / $1,417.58	Professional		$423.46	$809.45	$1,417.58