Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.84 / $3,783.00 / $11,150.00	Facility		$465.84	$3,783.00	$11,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.95 / $922.07 / $1,936.42	Professional		$357.95	$922.07	$1,936.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.69 / $959.48 / $2,713.49	Professional		$717.69	$959.48	$2,713.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $449.06 / $1,716.00 / $6,213.00	Facility		$449.06	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $449.06 / $449.06 / $1,702.84	Professional		$449.06	$449.06	$1,702.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $543.76 / $543.76 / $4,612.43	Facility		$543.76	$543.76	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $909.43 / $2,445.13	Professional		$279.14	$909.43	$2,445.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $383.36 / $862.56	Facility		$312.00	$383.36	$862.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.42 / $1,472.17 / $2,235.90	Professional		$1,119.42	$1,472.17	$2,235.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.33 / $1,119.42 / $1,954.28	Professional		$639.33	$1,119.42	$1,954.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $543.76 / $597.00 / $74,999.25	Facility		$543.76	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $391.08 / $1,080.54 / $2,786.15	Professional		$391.08	$1,080.54	$2,786.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.54 / $1,362.77 / $3,348.18	Professional		$966.54	$1,362.77	$3,348.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $402.37 / $402.37 / $1,139.45	Facility		$402.37	$402.37	$1,139.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $639.33 / $1,287.54 / $2,260.96	Professional		$639.33	$1,287.54	$2,260.96