Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.50 / $3,996.00 / $9,038.00	Facility		$681.50	$3,996.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.59 / $593.17 / $1,271.81	Professional		$427.59	$593.17	$1,271.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.41 / $507.73 / $1,139.58	Professional		$388.41	$507.73	$1,139.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $696.23 / $1,716.00 / $6,213.00	Facility		$696.23	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $696.23 / $696.23 / $696.23	Professional		$696.23	$696.23	$696.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.64 / $553.64 / $2,907.52	Facility		$553.64	$553.64	$2,907.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.67 / $610.79 / $1,396.30	Professional		$404.67	$610.79	$1,396.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $554.24 / $1,260.52	Facility		$332.00	$554.24	$1,260.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $547.13 / $669.71 / $1,042.54	Professional		$547.13	$669.71	$1,042.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.64 / $462.35 / $1,049.79	Professional		$249.64	$462.35	$1,049.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $553.64 / $597.00 / $74,999.25	Facility		$553.64	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $412.72 / $630.40 / $1,396.30	Professional		$412.72	$630.40	$1,396.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,908.00 / $10,452.00	Facility		$1,694.00	$4,908.00	$10,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.09 / $557.28 / $1,233.78	Professional		$407.09	$557.28	$1,233.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.55 / $676.55 / $1,324.90	Facility		$676.55	$676.55	$1,324.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $249.64 / $676.55 / $1,304.09	Professional		$249.64	$676.55	$1,304.09