Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.63 / $2,920.00 / $8,442.00	Facility		$257.63	$2,920.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.64 / $261.95 / $513.28	Professional		$177.64	$261.95	$513.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.98 / $277.30 / $611.41	Professional		$208.98	$277.30	$611.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $278.77 / $1,716.00 / $6,213.00	Facility		$278.77	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $278.77 / $278.77 / $448.27	Professional		$278.77	$278.77	$448.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.19 / $329.19 / $329.19	Facility		$329.19	$329.19	$329.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.37 / $338.91 / $727.44	Professional		$175.37	$338.91	$727.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $232.82 / $503.89	Facility		$130.00	$232.82	$503.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $355.08 / $411.57 / $872.43	Professional		$355.08	$411.57	$872.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $291.88 / $567.11	Professional		$191.22	$291.88	$567.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $329.19 / $555.00 / $74,999.25	Facility		$329.19	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.32 / $375.29 / $785.66	Professional		$206.32	$375.29	$785.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.93 / $337.18 / $760.92	Professional		$211.93	$337.18	$760.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $206.93 / $206.93 / $423.40	Facility		$206.93	$206.93	$423.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $329.49 / $647.92	Professional		$191.22	$329.49	$647.92