Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.00 / $3,996.00 / $9,038.00	Facility		$839.00	$3,996.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.23 / $666.52 / $1,211.01	Professional		$600.23	$666.52	$1,211.01
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 $455.69 / $587.24 / $1,574.29	Professional		$455.69	$587.24	$1,574.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $875.40 / $1,716.00 / $6,213.00	Facility		$875.40	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $875.40 / $875.40 / $875.40	Professional		$875.40	$875.40	$875.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.35 / $713.35 / $713.35	Facility		$713.35	$713.35	$713.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.94 / $859.26 / $2,169.23	Professional		$472.94	$859.26	$2,169.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $843.00 / $1,643.42	Facility		$332.00	$843.00	$1,643.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $738.06 / $872.25 / $1,804.11	Professional		$738.06	$872.25	$1,804.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.27 / $590.91 / $1,176.04	Professional		$515.27	$590.91	$1,176.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $713.35 / $74,999.25	Facility		$555.00	$713.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $612.76 / $888.28 / $2,169.23	Professional		$612.76	$888.28	$2,169.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,840.00 / $9,416.00	Facility		$1,925.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.45 / $709.05 / $1,737.62	Professional		$492.45	$709.05	$1,737.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $757.76 / $757.76 / $2,699.17	Facility		$757.76	$757.76	$2,699.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $544.63 / $757.76 / $1,968.57	Professional		$544.63	$757.76	$1,968.57