Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.29 / $4,400.00 / $9,203.00	Facility		$574.29	$4,400.00	$9,203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.50 / $422.28 / $916.18	Professional		$408.50	$422.28	$916.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $4,233.00 / $9,153.00	Facility		$2,402.00	$4,233.00	$9,153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.78 / $512.61 / $1,017.92	Professional		$412.78	$512.61	$1,017.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $593.59 / $593.59 / $37,499.62	Facility		$593.59	$593.59	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $593.59 / $593.59 / $593.59	Professional		$593.59	$593.59	$593.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.14 / $488.14 / $4,612.43	Facility		$488.14	$488.14	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.90 / $734.96 / $1,590.19	Professional		$463.90	$734.96	$1,590.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $800.00 / $1,280.00	Facility		$319.00	$800.00	$1,280.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $508.99 / $574.03 / $899.18	Professional		$508.99	$574.03	$899.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.36 / $403.50 / $780.55	Professional		$347.36	$403.50	$780.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $488.14 / $4,612.43 / $11,528.00	Facility		$488.14	$4,612.43	$11,528.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $500.08 / $718.66 / $1,590.19	Professional		$500.08	$718.66	$1,590.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.34 / $524.50 / $1,103.91	Professional		$369.34	$524.50	$1,103.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $463.86 / $463.86 / $1,380.02	Facility		$463.86	$463.86	$1,380.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $355.74 / $514.65 / $901.12	Professional		$355.74	$514.65	$901.12