Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.93 / $4,066.00 / $10,170.00	Facility		$419.93	$4,066.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $508.80 / $2,083.30	Professional		$105.75	$508.80	$2,083.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $45.93 / $137.63	Professional		$37.26	$45.93	$137.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Professional		$62.10	$62.10	$62.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,648.00 / $14,648.00 / $14,648.00	Facility		$14,648.00	$14,648.00	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.98 / $213.98 / $1,571.56	Professional		$213.98	$213.98	$1,571.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $250.00 / $354.37	Facility		$146.88	$250.00	$354.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $207.88 / $400.95	Professional		$76.67	$207.88	$400.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $310.02 / $540.04	Professional		$39.14	$310.02	$540.04
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 $213.98 / $213.98 / $1,571.56	Professional		$213.98	$213.98	$1,571.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $62.20 / $178.33	Professional		$45.00	$62.20	$178.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.57 / $268.94 / $268.94	Facility		$43.57	$268.94	$268.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $268.94 / $540.04	Professional		$39.14	$268.94	$540.04