Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.21 / $4,072.50 / $10,170.00	Facility		$505.21	$4,072.50	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.50 / $503.77 / $963.83	Professional		$348.50	$503.77	$963.83
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 $351.06 / $458.91 / $1,030.49	Professional		$351.06	$458.91	$1,030.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $564.29 / $2,390.00 / $10,957.50	Facility		$564.29	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $564.29 / $564.29 / $644.04	Professional		$564.29	$564.29	$644.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $668.64 / $668.64 / $688.55	Facility		$668.64	$668.64	$688.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.64 / $547.19 / $1,253.58	Professional		$335.64	$547.19	$1,253.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $479.00 / $1,025.19	Facility		$332.00	$479.00	$1,025.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.36 / $612.22 / $955.30	Professional		$501.36	$612.22	$955.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.71 / $422.22 / $839.05	Professional		$233.71	$422.22	$839.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $668.64 / $74,999.25	Facility		$555.00	$668.64	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $368.21 / $561.66 / $1,265.07	Professional		$368.21	$561.66	$1,265.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,908.00 / $8,133.00	Facility		$1,500.00	$3,908.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.58 / $513.47 / $1,123.30	Professional		$382.58	$513.47	$1,123.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $550.01 / $550.01 / $1,109.19	Facility		$550.01	$550.01	$1,109.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $233.71 / $550.01 / $1,074.92	Professional		$233.71	$550.01	$1,074.92