Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.38 / $5,224.00 / $11,396.00	Facility		$690.38	$5,224.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $602.41 / $1,288.38	Professional		$429.83	$602.41	$1,288.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.95 / $516.28 / $1,140.06	Professional		$394.95	$516.28	$1,140.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $705.58 / $2,644.00 / $12,319.50	Facility		$705.58	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $705.58 / $705.58 / $705.58	Professional		$705.58	$705.58	$705.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.60 / $559.60 / $2,203.26	Facility		$559.60	$559.60	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.46 / $674.45 / $1,413.51	Professional		$407.46	$674.45	$1,413.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $593.70 / $1,270.76	Facility		$332.00	$593.70	$1,270.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $552.04 / $677.74 / $1,052.76	Professional		$552.04	$677.74	$1,052.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $468.40 / $1,060.80	Professional		$320.00	$468.40	$1,060.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $674.65 / $1,418.57	Professional		$418.00	$674.65	$1,418.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.79 / $551.41 / $1,226.58	Professional		$416.79	$551.41	$1,226.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $683.64 / $683.64 / $1,580.85	Facility		$683.64	$683.64	$1,580.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $683.64 / $1,410.66	Professional		$320.00	$683.64	$1,410.66