Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.63 / $3,797.00 / $9,661.00	Facility		$806.63	$3,797.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.61 / $686.01 / $1,001.90	Professional		$453.61	$686.01	$1,001.90
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 $450.82 / $589.32 / $1,343.49	Professional		$450.82	$589.32	$1,343.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $841.93 / $1,254.00 / $4,050.00	Facility		$841.93	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $841.93 / $841.93 / $841.93	Professional		$841.93	$841.93	$841.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $671.08 / $671.08 / $1,685.80	Facility		$671.08	$671.08	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.11 / $757.14 / $1,652.95	Professional		$482.11	$757.14	$1,652.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $628.76 / $1,520.39	Facility		$332.00	$628.76	$1,520.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $659.91 / $807.23 / $1,257.52	Professional		$659.91	$807.23	$1,257.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.02 / $763.60 / $1,271.79	Professional		$300.02	$763.60	$1,271.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $671.08 / $74,999.25	Facility		$555.00	$671.08	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $496.96 / $765.48 / $1,619.70	Professional		$496.96	$765.48	$1,619.70
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 $488.45 / $658.83 / $1,490.14	Professional		$488.45	$658.83	$1,490.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $819.62 / $819.62 / $1,764.40	Facility		$819.62	$819.62	$1,764.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $300.02 / $938.12 / $1,523.99	Professional		$300.02	$938.12	$1,523.99