Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,370.00 / $10,686.00	Facility		$1,819.00	$5,370.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $255.61 / $301.07	Professional		$168.88	$255.61	$301.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.53 / $247.55 / $418.93	Professional		$203.53	$247.55	$418.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $320.42 / $5,064.50 / $15,193.50	Facility		$320.42	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $320.42 / $320.42 / $320.42	Professional		$320.42	$320.42	$320.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.67 / $279.67 / $7,227.90	Facility		$279.67	$279.67	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.63 / $1,163.07 / $1,163.07	Professional		$233.63	$1,163.07	$1,163.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $273.95 / $332.00 / $706.91	Facility		$273.95	$332.00	$706.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $191.77 / $319.14 / $543.53	Professional		$191.77	$319.14	$543.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $354.62 / $458.64	Professional		$236.41	$354.62	$458.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $279.67 / $597.00 / $74,999.25	Facility		$279.67	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $233.63 / $1,163.07 / $1,163.07	Professional		$233.63	$1,163.07	$1,163.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.59 / $294.88 / $750.25	Professional		$224.59	$294.88	$750.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $236.41 / $236.41 / $236.41	Facility		$236.41	$236.41	$236.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $362.21 / $495.95	Professional		$236.41	$362.21	$495.95