Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.32 / $4,043.00 / $9,038.00	Facility		$306.32	$4,043.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $176.20 / $380.76	Professional		$150.58	$176.20	$380.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $178.27 / $461.94	Professional		$136.37	$178.27	$461.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $243.63 / $1,716.00 / $6,213.00	Facility		$243.63	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $243.63 / $243.63	Professional		$243.63	$243.63	$243.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.30 / $200.30 / $200.30	Facility		$200.30	$200.30	$200.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $253.87 / $632.23	Professional		$136.88	$253.87	$632.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $286.64 / $472.29	Facility		$204.17	$286.64	$472.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.78 / $238.47 / $504.30	Professional		$201.78	$238.47	$504.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.05 / $208.63 / $316.91	Professional		$144.05	$208.63	$316.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $200.30 / $555.00 / $74,999.25	Facility		$200.30	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $177.57 / $264.80 / $636.92	Professional		$177.57	$264.80	$636.92
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $216.80 / $487.76	Professional		$122.63	$216.80	$487.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $184.12 / $184.12 / $1,155.34	Facility		$184.12	$184.12	$1,155.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $234.04 / $542.35	Professional		$160.47	$234.04	$542.35