Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.26 / $4,055.00 / $10,170.00	Facility		$587.26	$4,055.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.02 / $592.67 / $1,149.99	Professional		$422.02	$592.67	$1,149.99
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 $459.82 / $583.04 / $1,376.10	Professional		$459.82	$583.04	$1,376.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $599.53 / $2,390.00 / $10,957.50	Facility		$599.53	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $599.53 / $599.53 / $875.02	Professional		$599.53	$599.53	$875.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.33 / $711.33 / $1,424.38	Facility		$711.33	$711.33	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $674.65 / $1,409.08	Professional		$369.68	$674.65	$1,409.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $509.06 / $1,091.85	Facility		$332.00	$509.06	$1,091.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $668.43 / $809.51 / $1,271.59	Professional		$668.43	$809.51	$1,271.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.10 / $558.28 / $1,124.68	Professional		$307.10	$558.28	$1,124.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $711.33 / $74,999.25	Facility		$555.00	$711.33	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.95 / $737.27 / $1,537.39	Professional		$407.95	$737.27	$1,537.39
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 $519.95 / $669.94 / $1,366.15	Professional		$519.95	$669.94	$1,366.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $582.86 / $582.86 / $1,436.00	Facility		$582.86	$582.86	$1,436.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $307.10 / $703.01 / $1,283.34	Professional		$307.10	$703.01	$1,283.34