Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.00 / $2,902.00 / $7,563.00	Facility		$592.00	$2,902.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.57 / $584.41 / $1,139.86	Professional		$406.57	$584.41	$1,139.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.03 / $536.47 / $1,187.70	Professional		$411.03	$536.47	$1,187.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $671.93 / $671.93 / $6,213.00	Facility		$671.93	$671.93	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $671.93 / $671.93 / $744.50	Professional		$671.93	$671.93	$744.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $408.88 / $794.46	Facility		$408.88	$408.88	$794.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.54 / $640.12 / $1,465.73	Professional		$398.54	$640.12	$1,465.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $503.76 / $1,218.04	Facility		$332.00	$503.76	$1,218.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $596.08 / $710.62 / $1,108.40	Professional		$596.08	$710.62	$1,108.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $490.08 / $973.90	Professional		$392.06	$490.08	$973.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $597.00 / $74,999.25	Facility		$408.88	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $427.66 / $652.01 / $1,491.79	Professional		$427.66	$652.01	$1,491.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,496.00 / $5,828.00	Facility		$1,282.00	$3,496.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.36 / $573.86 / $1,280.48	Professional		$416.36	$573.86	$1,280.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $652.79 / $652.79 / $1,316.85	Facility		$652.79	$652.79	$1,316.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $652.79 / $1,277.18	Professional		$392.06	$652.79	$1,277.18