Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.76 / $3,917.00 / $9,523.00	Facility		$296.76	$3,917.00	$9,523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $259.94 / $628.53	Professional		$189.42	$259.94	$628.53
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 $201.79 / $263.77 / $652.96	Professional		$201.79	$263.77	$652.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $358.92 / $1,990.00 / $8,917.50	Facility		$358.92	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $358.92 / $358.92 / $534.14	Professional		$358.92	$358.92	$534.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.85 / $431.85 / $431.85	Facility		$431.85	$431.85	$431.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $374.57 / $897.09	Professional		$193.89	$374.57	$897.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $305.06 / $670.05	Facility		$188.00	$305.06	$670.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $440.43 / $510.50 / $1,081.69	Professional		$440.43	$510.50	$1,081.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.56 / $348.34 / $691.71	Professional		$263.56	$348.34	$691.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $431.85 / $555.00 / $74,999.25	Facility		$431.85	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $208.14 / $436.84 / $930.25	Professional		$208.14	$436.84	$930.25
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 $240.60 / $389.78 / $901.71	Professional		$240.60	$389.78	$901.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $271.17 / $271.17 / $790.93	Facility		$271.17	$271.17	$790.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $271.17 / $401.88 / $798.76	Professional		$271.17	$401.88	$798.76