Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.04 / $4,055.00 / $10,189.01	Facility		$587.04	$4,055.00	$10,189.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.10 / $556.74 / $1,090.68	Professional		$411.10	$556.74	$1,090.68
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 $417.30 / $529.13 / $1,250.38	Professional		$417.30	$529.13	$1,250.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $611.63 / $2,390.00 / $10,957.50	Facility		$611.63	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $611.63 / $611.63 / $781.13	Professional		$611.63	$611.63	$781.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.54 / $723.54 / $1,424.38	Facility		$723.54	$723.54	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.86 / $653.00 / $1,426.98	Professional		$379.86	$653.00	$1,426.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $533.00 / $1,111.75	Facility		$332.00	$533.00	$1,111.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $603.74 / $732.86 / $1,148.50	Professional		$603.74	$732.86	$1,148.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.41 / $505.42 / $1,124.68	Professional		$293.41	$505.42	$1,124.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $723.54 / $74,999.25	Facility		$555.00	$723.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $439.76 / $681.69 / $1,437.47	Professional		$439.76	$681.69	$1,437.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $3,963.00 / $8,208.00	Facility		$2,031.00	$3,963.00	$8,208.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.95 / $615.19 / $1,362.14	Professional		$473.95	$615.19	$1,362.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $592.75 / $592.75 / $1,369.61	Facility		$592.75	$592.75	$1,369.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $293.41 / $744.93 / $1,222.39	Professional		$293.41	$744.93	$1,222.39