Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.13 / $4,545.00 / $10,024.00	Facility		$784.13	$4,545.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.67 / $734.28 / $1,377.08	Professional		$575.67	$734.28	$1,377.08
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 $458.96 / $599.96 / $1,428.51	Professional		$458.96	$599.96	$1,428.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $873.27 / $1,990.00 / $8,917.50	Facility		$873.27	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $873.27 / $873.27 / $873.27	Professional		$873.27	$873.27	$873.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.36 / $652.36 / $5,246.94	Facility		$652.36	$652.36	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.94 / $1,013.75 / $2,280.51	Professional		$488.94	$1,013.75	$2,280.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $880.00 / $1,520.28	Facility		$319.00	$880.00	$1,520.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $608.11 / $810.82 / $1,168.93	Professional		$608.11	$810.82	$1,168.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.36 / $575.71 / $971.87	Professional		$421.36	$575.71	$971.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $652.36 / $74,999.25	Facility		$555.00	$652.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $524.87 / $1,011.70 / $2,100.23	Professional		$524.87	$1,011.70	$2,100.23
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 $604.00 / $787.96 / $1,870.63	Professional		$604.00	$787.96	$1,870.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $712.84 / $712.84 / $2,352.35	Facility		$712.84	$712.84	$2,352.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $421.36 / $813.63 / $1,424.28	Professional		$421.36	$813.63	$1,424.28