Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.45 / $4,910.00 / $11,396.00	Facility		$571.45	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.41 / $630.74 / $1,245.78	Professional		$528.41	$630.74	$1,245.78
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 $385.87 / $504.41 / $1,186.33	Professional		$385.87	$504.41	$1,186.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $656.48 / $656.48 / $37,499.62	Facility		$656.48	$656.48	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $656.48 / $656.48 / $656.48	Professional		$656.48	$656.48	$656.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.05 / $537.05 / $7,227.90	Facility		$537.05	$537.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.49 / $823.42 / $1,716.82	Professional		$485.49	$823.42	$1,716.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $792.46 / $1,648.00	Facility		$319.00	$792.46	$1,648.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $503.53 / $671.38 / $967.90	Professional		$503.53	$671.38	$967.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.77 / $465.40 / $764.97	Professional		$353.77	$465.40	$764.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.05 / $7,227.90 / $74,999.25	Facility		$537.05	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $492.89 / $819.79 / $1,706.20	Professional		$492.89	$819.79	$1,706.20
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 $476.79 / $642.84 / $1,489.18	Professional		$476.79	$642.84	$1,489.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $590.08 / $590.08 / $1,991.99	Facility		$590.08	$590.08	$1,991.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $353.77 / $674.24 / $1,179.01	Professional		$353.77	$674.24	$1,179.01