Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.73 / $4,051.00 / $11,150.00	Facility		$503.73	$4,051.00	$11,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.92 / $970.72 / $1,455.48	Professional		$358.92	$970.72	$1,455.48
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 $745.45 / $962.46 / $2,163.42	Professional		$745.45	$962.46	$2,163.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $469.67 / $1,990.00 / $8,917.50	Facility		$469.67	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $469.67 / $469.67 / $1,253.17	Professional		$469.67	$469.67	$1,253.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.60 / $568.60 / $5,246.94	Facility		$568.60	$568.60	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.61 / $791.40 / $2,100.31	Professional		$294.61	$791.40	$2,100.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $435.00 / $883.78	Facility		$319.00	$435.00	$883.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $787.53 / $1,060.47 / $1,604.19	Professional		$787.53	$1,060.47	$1,604.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.36 / $913.77 / $1,291.95	Professional		$731.36	$913.77	$1,291.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $377.80 / $1,110.05 / $2,216.00	Professional		$377.80	$1,110.05	$2,216.00
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 $807.20 / $1,114.31 / $2,487.71	Professional		$807.20	$1,114.31	$2,487.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $420.37 / $420.37 / $1,308.66	Facility		$420.37	$420.37	$1,308.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $658.27 / $1,030.00 / $1,624.65	Professional		$658.27	$1,030.00	$1,624.65