Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,072.00 / $9,661.00	Facility		$1,508.00	$4,072.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $84.82 / $97.28	Professional		$65.27	$84.82	$97.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
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 $100.32 / $100.32 / $16,534.50	Facility		$100.32	$100.32	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $100.32 / $100.32	Professional		$100.32	$100.32	$100.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.19 / $108.19 / $14,648.00	Facility		$108.19	$108.19	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $450.57 / $450.57	Professional		$84.20	$450.57	$450.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $86.71 / $152.41 / $332.00	Facility		$86.71	$152.41	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $97.55 / $221.41	Professional		$50.58	$97.55	$221.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $90.33 / $159.34	Professional		$65.81	$90.33	$159.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.19 / $555.00 / $74,999.25	Facility		$108.19	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $450.57 / $450.57	Professional		$84.20	$450.57	$450.57
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $87.25 / $192.64	Professional		$51.09	$87.25	$192.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $72.26 / $73.27	Facility		$72.26	$72.26	$73.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $73.27 / $159.34	Professional		$72.26	$73.27	$159.34