Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.00 / $3,797.00 / $10,170.00	Facility		$616.00	$3,797.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.68 / $586.16 / $874.14	Professional		$470.68	$586.16	$874.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.86 / $439.26 / $1,110.67	Professional		$340.86	$439.26	$1,110.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $1,254.00 / $4,050.00	Facility		$639.45	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $639.45 / $639.45 / $639.45	Professional		$639.45	$639.45	$639.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.08 / $515.08 / $3,479.91	Facility		$515.08	$515.08	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.13 / $780.74 / $1,775.01	Professional		$401.13	$780.74	$1,775.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $530.00 / $1,163.79	Facility		$319.00	$530.00	$1,163.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $517.24 / $616.70 / $922.92	Professional		$517.24	$616.70	$922.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.96 / $514.25 / $829.15	Professional		$369.96	$514.25	$829.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $515.08 / $597.00 / $23,612.00	Facility		$515.08	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.90 / $770.69 / $1,629.84	Professional		$467.90	$770.69	$1,629.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.88 / $566.91 / $1,434.01	Professional		$358.88	$566.91	$1,434.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $605.00 / $605.00 / $1,589.30	Facility		$605.00	$605.00	$1,589.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $390.19 / $554.91 / $959.74	Professional		$390.19	$554.91	$959.74