Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $4,043.00 / $9,661.00	Facility		$1,335.00	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $226.09 / $289.02	Professional		$168.28	$226.09	$289.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.99 / $308.01 / $650.26	Professional		$255.99	$308.01	$650.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $274.61 / $274.61 / $4,050.00	Facility		$274.61	$274.61	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $274.61 / $274.61 / $274.61	Professional		$274.61	$274.61	$274.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.41 / $207.41 / $14,648.00	Facility		$207.41	$207.41	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $393.72 / $852.85	Professional		$152.77	$393.72	$852.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $8,650.00 / $8,650.00	Facility		$8,650.00	$8,650.00	$8,650.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $377.25	Professional		$202.00	$202.00	$377.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $228.84 / $366.24	Professional		$153.77	$228.84	$366.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $207.41 / $207.41 / $74,999.25	Facility		$207.41	$207.41	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $399.90 / $885.60	Professional		$152.77	$399.90	$885.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $241.72 / $552.12	Professional		$123.63	$241.72	$552.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $196.56 / $196.56 / $196.56	Facility		$196.56	$196.56	$196.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $167.08 / $249.84 / $386.52	Professional		$167.08	$249.84	$386.52