Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.10 / $3,317.00 / $9,661.00	Facility		$309.10	$3,317.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.15 / $384.39 / $3,162.97	Professional		$172.15	$384.39	$3,162.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $979.66 / $3,312.98	Professional		$326.33	$979.66	$3,312.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $512.54 / $1,254.00 / $4,050.00	Facility		$512.54	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $512.54 / $512.54 / $3,424.05	Professional		$512.54	$512.54	$3,424.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.04 / $770.04 / $770.04	Facility		$770.04	$770.04	$770.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $811.31 / $6,978.37	Professional		$220.00	$811.31	$6,978.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $448.00 / $1,274.02	Facility		$250.00	$448.00	$1,274.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,985.21 / $5,503.49 / $8,429.95	Professional		$3,985.21	$5,503.49	$8,429.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,422.25 / $3,422.25 / $3,422.25	Facility		$3,422.25	$3,422.25	$3,422.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $3,774.67 / $7,673.91	Professional		$185.00	$3,774.67	$7,673.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $49,110.00	Facility		$555.00	$597.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.59 / $1,660.22 / $7,449.66	Professional		$245.59	$1,660.22	$7,449.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $52,889.00	Facility		$2,341.00	$6,700.00	$52,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.36 / $2,767.94 / $7,144.30	Professional		$304.36	$2,767.94	$7,144.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $496.41 / $517.20 / $906.13	Facility		$496.41	$517.20	$906.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $195.26 / $3,808.23 / $7,204.75	Professional		$195.26	$3,808.23	$7,204.75