Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.25 / $4,043.00 / $10,170.00	Facility		$628.25	$4,043.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $608.38 / $1,304.13	Professional		$421.20	$608.38	$1,304.13
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 $470.18 / $596.17 / $1,410.62	Professional		$470.18	$596.17	$1,410.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $641.64 / $2,390.00 / $10,957.50	Facility		$641.64	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $641.64 / $641.64 / $888.00	Professional		$641.64	$641.64	$888.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.01 / $760.01 / $1,685.80	Facility		$760.01	$760.01	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.42 / $706.20 / $1,509.57	Professional		$411.42	$706.20	$1,509.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $503.80 / $1,167.17	Facility		$332.00	$503.80	$1,167.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $683.83 / $829.27 / $1,301.30	Professional		$683.83	$829.27	$1,301.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.56 / $571.91 / $1,311.48	Professional		$327.56	$571.91	$1,311.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $760.01 / $74,999.25	Facility		$555.00	$760.01	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $488.50 / $748.74 / $1,572.81	Professional		$488.50	$748.74	$1,572.81
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 $504.19 / $695.72 / $1,400.03	Professional		$504.19	$695.72	$1,400.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $623.88 / $623.88 / $1,257.86	Facility		$623.88	$623.88	$1,257.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $327.56 / $845.20 / $1,331.09	Professional		$327.56	$845.20	$1,331.09