Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.71 / $3,158.00 / $8,907.44	Facility		$580.71	$3,158.00	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.69 / $578.41 / $1,267.33	Professional		$390.69	$578.41	$1,267.33
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 $461.73 / $585.46 / $1,380.89	Professional		$461.73	$585.46	$1,380.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $615.66 / $1,716.00 / $6,213.00	Facility		$615.66	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $615.66 / $615.66 / $852.01	Professional		$615.66	$615.66	$852.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.43 / $727.43 / $1,424.38	Facility		$727.43	$727.43	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.49 / $678.01 / $1,441.92	Professional		$365.49	$678.01	$1,441.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $514.63 / $1,105.16	Facility		$332.00	$514.63	$1,105.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.30 / $801.94 / $1,255.83	Professional		$660.30	$801.94	$1,255.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $555.75 / $1,124.68	Professional		$324.70	$555.75	$1,124.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $727.43 / $74,999.25	Facility		$555.00	$727.43	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $402.71 / $725.89 / $1,567.99	Professional		$402.71	$725.89	$1,567.99
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 $524.54 / $692.88 / $1,491.70	Professional		$524.54	$692.88	$1,491.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $592.97 / $592.97 / $1,420.78	Facility		$592.97	$592.97	$1,420.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $813.84 / $1,262.82	Professional		$324.70	$813.84	$1,262.82