Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.14 / $3,100.00 / $7,343.00	Facility		$448.14	$3,100.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $409.38 / $742.51	Professional		$295.18	$409.38	$742.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.08 / $399.83 / $926.16	Professional		$310.08	$399.83	$926.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $474.20 / $474.20 / $6,213.00	Facility		$474.20	$474.20	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $474.20 / $474.20 / $605.50	Professional		$474.20	$474.20	$605.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.46 / $379.46 / $564.38	Facility		$379.46	$379.46	$564.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $489.66 / $1,059.19	Professional		$283.14	$489.66	$1,059.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $338.58 / $867.51	Facility		$209.00	$338.58	$867.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $481.06 / $584.44 / $915.90	Professional		$481.06	$584.44	$915.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $403.06 / $803.84	Professional		$202.94	$403.06	$803.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $379.46 / $564.38 / $74,999.25	Facility		$379.46	$564.38	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.04 / $511.18 / $1,106.77	Professional		$300.04	$511.18	$1,106.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.52 / $457.01 / $962.55	Professional		$328.52	$457.01	$962.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $462.94 / $462.94 / $888.87	Facility		$462.94	$462.94	$888.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $462.94 / $921.73	Professional		$202.94	$462.94	$921.73