Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,386.00 / $9,969.75	Facility		$1,508.00	$4,386.00	$9,969.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.49 / $191.62 / $211.98	Professional		$167.49	$191.62	$211.98
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 $382.50 / $475.00 / $790.00	Professional		$382.50	$475.00	$790.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $459.45 / $459.45 / $16,534.50	Facility		$459.45	$459.45	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $459.45 / $459.45 / $459.45	Professional		$459.45	$459.45	$459.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.25 / $323.25 / $323.25	Facility		$323.25	$323.25	$323.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.01 / $1,135.01 / $1,135.01	Professional		$1,135.01	$1,135.01	$1,135.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $319.00 / $486.09	Facility		$208.02	$319.00	$486.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $226.84 / $533.62	Professional		$115.82	$226.84	$533.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $216.69 / $382.24	Professional		$138.97	$216.69	$382.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $323.25 / $555.00 / $74,999.25	Facility		$323.25	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,135.01 / $1,135.01 / $1,135.01	Professional		$1,135.01	$1,135.01	$1,135.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.99 / $342.39 / $782.74	Professional		$159.99	$342.39	$782.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.72 / $173.35 / $173.35	Facility		$154.72	$173.35	$173.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $173.35 / $382.24	Professional		$154.72	$173.35	$382.24