Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.90 / $4,792.00 / $11,396.00	Facility		$668.90	$4,792.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.58 / $668.90 / $1,358.84	Professional		$545.58	$668.90	$1,358.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,765.00 / $9,808.00 / $15,887.00	Facility		$4,765.00	$9,808.00	$15,887.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.19 / $491.15 / $1,065.64	Professional		$394.19	$491.15	$1,065.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $679.47 / $679.47 / $4,050.00	Facility		$679.47	$679.47	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $679.47 / $679.47 / $679.47	Professional		$679.47	$679.47	$679.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.75 / $553.75 / $5,246.94	Facility		$553.75	$553.75	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.87 / $865.12 / $2,399.42	Professional		$451.87	$865.12	$2,399.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $920.89 / $2,628.53	Facility		$319.00	$920.89	$2,628.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $534.83 / $695.17 / $951.59	Professional		$534.83	$695.17	$951.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.82 / $547.00 / $818.31	Professional		$350.82	$547.00	$818.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $553.75 / $597.00 / $74,999.25	Facility		$553.75	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $424.09 / $843.40 / $2,297.48	Professional		$424.09	$843.40	$2,297.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.42 / $674.17 / $1,679.26	Professional		$455.42	$674.17	$1,679.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $547.86 / $547.86 / $5,996.32	Facility		$547.86	$547.86	$5,996.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $350.82 / $547.86 / $1,199.23	Professional		$350.82	$547.86	$1,199.23