Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.08 / $4,072.50 / $10,512.97	Facility		$630.08	$4,072.50	$10,512.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $585.97 / $1,010.03	Professional		$428.62	$585.97	$1,010.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $499.89 / $1,157.82 / $1,525.83	Professional	50	$499.89	$1,157.82	$1,525.83
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 $497.08 / $630.29 / $1,386.53	Professional		$497.08	$630.29	$1,386.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $745.63 / $945.44 / $2,079.79	Professional	50	$745.63	$945.44	$2,079.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $671.69 / $2,390.00 / $10,957.50	Facility		$671.69	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $671.69 / $671.69 / $857.42	Professional		$671.69	$671.69	$857.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.66 / $794.66 / $1,424.38	Facility		$794.66	$794.66	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.69 / $710.13 / $1,578.15	Professional		$405.69	$710.13	$1,578.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $609.00 / $1,210.97	Facility		$332.00	$609.00	$1,210.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $661.71 / $806.58 / $1,260.26	Professional		$661.71	$806.58	$1,260.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.84 / $556.41 / $1,124.68	Professional		$340.84	$556.41	$1,124.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $794.66 / $74,999.25	Facility		$555.00	$794.66	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $441.42 / $744.01 / $1,639.18	Professional		$441.42	$744.01	$1,639.18
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 $526.77 / $688.47 / $1,641.30	Professional		$526.77	$688.47	$1,641.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $650.51 / $650.51 / $1,585.75	Facility		$650.51	$650.51	$1,585.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $340.84 / $819.75 / $1,400.48	Professional		$340.84	$819.75	$1,400.48