Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.83 / $4,043.00 / $10,296.00	Facility		$480.83	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.42 / $539.94 / $981.61	Professional		$457.42	$539.94	$981.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $4,960.00 / $11,448.00	Facility		$2,644.00	$4,960.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.72 / $428.40 / $962.42	Professional		$327.72	$428.40	$962.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $565.51 / $565.51 / $37,499.62	Facility		$565.51	$565.51	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $565.51 / $565.51 / $565.51	Professional		$565.51	$565.51	$565.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.32 / $462.32 / $7,227.90	Facility		$462.32	$462.32	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.69 / $722.95 / $1,499.23	Professional		$412.69	$722.95	$1,499.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $670.95 / $1,200.00	Facility		$319.00	$670.95	$1,200.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $428.47 / $571.29 / $823.62	Professional		$428.47	$571.29	$823.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.08 / $382.23 / $647.66	Professional		$294.08	$382.23	$647.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $462.32 / $597.00 / $74,999.25	Facility		$462.32	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $423.42 / $727.04 / $1,499.23	Professional		$423.42	$727.04	$1,499.23
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 $407.65 / $543.89 / $1,207.67	Professional		$407.65	$543.89	$1,207.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $499.71 / $499.71 / $1,712.81	Facility		$499.71	$499.71	$1,712.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $294.08 / $570.85 / $998.45	Professional		$294.08	$570.85	$998.45