Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.39 / $5,167.00 / $11,880.00	Facility		$926.39	$5,167.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.63 / $854.01 / $1,105.08	Professional		$694.63	$854.01	$1,105.08
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 $539.29 / $704.97 / $1,722.31	Professional		$539.29	$704.97	$1,722.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $934.97 / $2,644.00 / $12,319.50	Facility		$934.97	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $934.97 / $934.97 / $934.97	Professional		$934.97	$934.97	$934.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $852.00 / $1,498.25	Facility		$332.00	$852.00	$1,498.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $650.30 / $795.48 / $1,239.24	Professional		$650.30	$795.48	$1,239.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.61 / $751.60 / $1,244.36	Professional		$548.61	$751.60	$1,244.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $670.70 / $925.73 / $1,970.17	Professional		$670.70	$925.73	$1,970.17
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 $517.40 / $733.69 / $1,504.78	Professional		$517.40	$733.69	$1,504.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $801.95 / $801.95 / $2,698.10	Facility		$801.95	$801.95	$2,698.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $536.11 / $801.95 / $1,739.67	Professional		$536.11	$801.95	$1,739.67