Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.99 / $3,316.00 / $7,969.00	Facility		$221.99	$3,316.00	$7,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $221.99 / $410.18	Professional		$149.93	$221.99	$410.18
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 $174.78 / $225.65 / $487.55	Professional		$174.78	$225.65	$487.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $234.97 / $234.97 / $6,213.00	Facility		$234.97	$234.97	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.97 / $234.97 / $346.69	Professional		$234.97	$234.97	$346.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.56 / $284.56 / $284.56	Facility		$284.56	$284.56	$284.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $267.48 / $579.37	Professional		$145.43	$267.48	$579.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $250.00 / $431.35	Facility		$164.00	$250.00	$431.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $331.53 / $694.02	Professional		$286.02	$331.53	$694.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.86 / $228.63 / $454.22	Professional		$186.86	$228.63	$454.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $284.56 / $555.00 / $74,999.25	Facility		$284.56	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $300.54 / $629.69	Professional		$168.21	$300.54	$629.69
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 $160.04 / $280.98 / $606.70	Professional		$160.04	$280.98	$606.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $179.95 / $179.95 / $572.65	Facility		$179.95	$179.95	$572.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.86 / $242.90 / $530.05	Professional		$186.86	$242.90	$530.05