Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.74 / $4,683.00 / $10,526.00	Facility		$632.74	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.36 / $622.90 / $1,171.84	Professional		$488.36	$622.90	$1,171.84
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 $390.39 / $510.32 / $1,128.95	Professional		$390.39	$510.32	$1,128.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $677.32 / $2,390.00 / $10,957.50	Facility		$677.32	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $677.32 / $677.32 / $677.32	Professional		$677.32	$677.32	$677.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.36 / $544.36 / $6,511.02	Facility		$544.36	$544.36	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.20 / $764.29 / $1,783.80	Professional		$403.20	$764.29	$1,783.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $799.13 / $1,376.00	Facility		$319.00	$799.13	$1,376.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $514.41 / $685.90 / $988.83	Professional		$514.41	$685.90	$988.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.57 / $461.69 / $784.26	Professional		$309.57	$461.69	$784.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $544.36 / $597.00 / $74,999.25	Facility		$544.36	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $427.70 / $764.29 / $1,770.03	Professional		$427.70	$764.29	$1,770.03
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 $460.05 / $626.22 / $1,424.37	Professional		$460.05	$626.22	$1,424.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $604.71 / $604.71 / $1,695.02	Facility		$604.71	$604.71	$1,695.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.57 / $691.25 / $1,208.23	Professional		$309.57	$691.25	$1,208.23