Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.19 / $5,411.00 / $10,686.00	Facility		$632.19	$5,411.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.49 / $494.71 / $632.19	Professional		$270.49	$494.71	$632.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,519.00 / $23,671.00	Facility		$4,977.00	$9,519.00	$23,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $161.54 / $261.17	Professional		$137.30	$161.54	$261.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37,499.62 / $37,499.62 / $37,499.62	Facility		$37,499.62	$37,499.62	$37,499.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.12 / $257.12 / $257.12	Facility		$257.12	$257.12	$257.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.56 / $371.54 / $583.36	Professional		$264.56	$371.54	$583.36
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
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $587.07 / $1,384.91	Professional		$326.86	$587.07	$1,384.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.12 / $264.56 / $264.56	Facility		$257.12	$264.56	$264.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $264.56 / $264.56 / $555.01	Professional		$264.56	$264.56	$555.01