Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.91 / $4,574.00 / $10,024.00	Facility		$774.91	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.62 / $675.77 / $1,290.06	Professional		$493.62	$675.77	$1,290.06
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 $442.37 / $578.27 / $1,316.46	Professional		$442.37	$578.27	$1,316.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $792.48 / $1,990.00 / $8,917.50	Facility		$792.48	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $792.48 / $792.48 / $792.48	Professional		$792.48	$792.48	$792.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.95 / $628.95 / $1,685.80	Facility		$628.95	$628.95	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.39 / $693.93 / $1,587.06	Professional		$459.39	$693.93	$1,587.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $634.20 / $1,430.10	Facility		$332.00	$634.20	$1,430.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $620.91 / $761.51 / $1,183.48	Professional		$620.91	$761.51	$1,183.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $532.13 / $1,193.28	Professional		$287.89	$532.13	$1,193.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $628.95 / $74,999.25	Facility		$555.00	$628.95	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $469.85 / $722.12 / $1,587.06	Professional		$469.85	$722.12	$1,587.06
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 $466.16 / $633.57 / $1,283.96	Professional		$466.16	$633.57	$1,283.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $769.03 / $769.03 / $1,567.50	Facility		$769.03	$769.03	$1,567.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $769.03 / $1,429.91	Professional		$287.89	$769.03	$1,429.91