Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.49 / $3,316.00 / $7,521.00	Facility		$277.49	$3,316.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.46 / $253.71 / $572.96	Professional		$191.46	$253.71	$572.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $262.62 / $553.16	Professional		$213.87	$262.62	$553.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $316.77 / $1,254.00 / $4,050.00	Facility		$316.77	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $316.77 / $316.77 / $404.15	Professional		$316.77	$316.77	$404.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.03 / $384.03 / $384.03	Facility		$384.03	$384.03	$384.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $334.43 / $743.16	Professional		$177.86	$334.43	$743.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $282.00 / $595.24	Facility		$186.00	$282.00	$595.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $333.22 / $386.24 / $814.51	Professional		$333.22	$386.24	$814.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $264.97 / $524.99	Professional		$219.87	$264.97	$524.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $384.03 / $555.00 / $74,999.25	Facility		$384.03	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $209.78 / $359.68 / $783.72	Professional		$209.78	$359.68	$783.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.63 / $312.30 / $711.00	Professional		$191.63	$312.30	$711.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $243.03 / $243.03 / $770.43	Facility		$243.03	$243.03	$770.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $280.74 / $669.16	Professional		$219.87	$280.74	$669.16