Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $3,797.00 / $9,523.00	Facility		$609.29	$3,797.00	$9,523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.49 / $560.30 / $1,002.58	Professional		$413.49	$560.30	$1,002.58
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 $439.11 / $566.97 / $1,308.47	Professional		$439.11	$566.97	$1,308.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $656.88 / $1,990.00 / $8,917.50	Facility		$656.88	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $656.88 / $656.88 / $811.09	Professional		$656.88	$656.88	$811.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.50 / $778.50 / $1,424.38	Facility		$778.50	$778.50	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.50 / $681.42 / $1,509.30	Professional		$389.50	$681.42	$1,509.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $495.65 / $1,193.78	Facility		$332.00	$495.65	$1,193.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $629.04 / $765.54 / $1,197.54	Professional		$629.04	$765.54	$1,197.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.45 / $529.83 / $1,124.68	Professional		$297.45	$529.83	$1,124.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $778.50 / $74,999.25	Facility		$555.00	$778.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $418.91 / $699.09 / $1,547.04	Professional		$418.91	$699.09	$1,547.04
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 $486.96 / $639.65 / $1,287.20	Professional		$486.96	$639.65	$1,287.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $638.07 / $638.07 / $1,302.29	Facility		$638.07	$638.07	$1,302.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $297.45 / $776.34 / $1,260.01	Professional		$297.45	$776.34	$1,260.01