Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.94 / $3,419.00 / $8,442.00	Facility		$514.94	$3,419.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.97 / $524.08 / $1,000.00	Professional		$362.97	$524.08	$1,000.00
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 $358.42 / $468.53 / $1,069.50	Professional		$358.42	$468.53	$1,069.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $570.90 / $1,716.00 / $6,213.00	Facility		$570.90	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $570.90 / $570.90 / $653.02	Professional		$570.90	$570.90	$653.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $675.54 / $1,424.38	Facility		$675.54	$675.54	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $559.66 / $1,281.84	Professional		$347.90	$559.66	$1,281.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $455.40 / $1,044.25	Facility		$332.00	$455.40	$1,044.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $627.86 / $983.08	Professional		$516.41	$627.86	$983.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.35 / $439.53 / $987.62	Professional		$242.35	$439.53	$987.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $675.54 / $74,999.25	Facility		$555.00	$675.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $383.47 / $595.39 / $1,295.48	Professional		$383.47	$595.39	$1,295.48
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 $395.83 / $520.05 / $1,129.78	Professional		$395.83	$520.05	$1,129.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $558.37 / $558.37 / $1,252.92	Facility		$558.37	$558.37	$1,252.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $242.35 / $558.37 / $1,130.05	Professional		$242.35	$558.37	$1,130.05