Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.00 / $3,783.00 / $9,038.00	Facility		$592.00	$3,783.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.58 / $469.11 / $795.74	Professional		$339.58	$469.11	$795.74
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 $306.91 / $401.19 / $951.84	Professional		$306.91	$401.19	$951.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.76 / $645.76 / $4,050.00	Facility		$645.76	$645.76	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.76 / $645.76 / $645.76	Professional		$645.76	$645.76	$645.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.32 / $522.32 / $1,685.80	Facility		$522.32	$522.32	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.00 / $562.54 / $1,228.08	Professional		$334.00	$562.54	$1,228.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $523.49 / $1,177.84	Facility		$332.00	$523.49	$1,177.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $531.38 / $905.64	Professional		$180.00	$531.38	$905.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.92 / $426.90 / $985.96	Professional		$212.92	$426.90	$985.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $522.32 / $597.00 / $74,999.25	Facility		$522.32	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $368.76 / $559.02 / $1,174.45	Professional		$368.76	$559.02	$1,174.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $2,507.00 / $4,583.00	Facility		$1,101.00	$2,507.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.78 / $466.57 / $1,021.92	Professional		$368.78	$466.57	$1,021.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $635.41 / $635.41 / $1,262.53	Facility		$635.41	$635.41	$1,262.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $212.92 / $635.41 / $1,181.48	Professional		$212.92	$635.41	$1,181.48