Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.88 / $3,996.00 / $9,038.00	Facility		$855.88	$3,996.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.23 / $780.97 / $1,558.77	Professional		$507.23	$780.97	$1,558.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.64 / $586.47 / $1,365.26	Professional		$448.64	$586.47	$1,365.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $963.06 / $1,716.00 / $6,213.00	Facility		$963.06	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $963.06 / $963.06 / $963.06	Professional		$963.06	$963.06	$963.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.54 / $782.54 / $2,203.26	Facility		$782.54	$782.54	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.69 / $824.46 / $1,796.34	Professional		$483.69	$824.46	$1,796.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $769.19 / $1,766.18	Facility		$332.00	$769.19	$1,766.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $765.75 / $929.44 / $1,457.84	Professional		$765.75	$929.44	$1,457.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.51 / $640.99 / $1,478.20	Professional		$311.51	$640.99	$1,478.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $782.54 / $74,999.25	Facility		$555.00	$782.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $545.17 / $824.46 / $1,761.23	Professional		$545.17	$824.46	$1,761.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.05 / $689.10 / $1,532.36	Professional		$530.05	$689.10	$1,532.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $952.64 / $952.64 / $1,860.69	Facility		$952.64	$952.64	$1,860.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $311.51 / $952.64 / $1,739.67	Professional		$311.51	$952.64	$1,739.67