Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.75 / $5,411.00 / $10,686.00	Facility		$553.75	$5,411.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.07 / $458.04 / $553.75	Professional		$311.07	$458.04	$553.75
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 / $262.43	Professional		$137.30	$161.54	$262.43
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 $401.96 / $401.96 / $401.96	Facility		$401.96	$401.96	$401.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.55 / $580.84 / $896.98	Professional		$413.55	$580.84	$896.98
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 $363.31 / $510.27 / $1,213.03	Professional		$363.31	$510.27	$1,213.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $401.96 / $413.55 / $413.55	Facility		$401.96	$413.55	$413.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $413.55 / $413.55 / $867.56	Professional		$413.55	$413.55	$867.56