Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.90 / $4,910.00 / $11,396.00	Facility		$533.90	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.46 / $533.90 / $1,069.16	Professional		$397.46	$533.90	$1,069.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.52 / $379.78 / $1,070.26	Professional		$290.52	$379.78	$1,070.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $481.50 / $481.50 / $37,499.62	Facility		$481.50	$481.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $481.50 / $481.50 / $481.50	Professional		$481.50	$481.50	$481.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.89 / $380.89 / $7,227.90	Facility		$380.89	$380.89	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.92 / $700.06 / $1,285.58	Professional		$346.92	$700.06	$1,285.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $880.49 / $47,618.00	Facility		$332.00	$880.49	$47,618.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $352.20 / $469.60 / $677.00	Professional		$352.20	$469.60	$677.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.12 / $397.21 / $561.39	Professional		$294.12	$397.21	$561.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $380.89 / $597.00 / $74,999.25	Facility		$380.89	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $379.80 / $684.82 / $1,331.65	Professional		$379.80	$684.82	$1,331.65
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 $340.65 / $491.04 / $1,098.99	Professional		$340.65	$491.04	$1,098.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $411.77 / $411.77 / $1,976.03	Facility		$411.77	$411.77	$1,976.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $301.83 / $469.96 / $822.73	Professional		$301.83	$469.96	$822.73