Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,630.78 / $10,000.00	Facility		$213.80	$3,630.78	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $602.56	Professional		$123.03	$239.88	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $707.95	Professional		$229.09	$288.40	$707.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $10,964.78	Facility		$199.53	$199.53	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $407.38	Professional		$199.53	$199.53	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $239.88 / $50,118.72	Facility		$34.67	$239.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $380.19 / $1,023.29	Professional		$158.49	$380.19	$1,023.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $281.84 / $489.78	Facility		$151.36	$281.84	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $602.56	Professional		$346.74	$426.58	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $575.44	Professional		$199.53	$346.74	$575.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $851.14	Professional		$346.74	$398.11	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,248.07 / $12,302.69	Facility		$2,398.83	$5,248.07	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $223.87 / $645.65	Professional		$100.00	$223.87	$645.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $467.74	Facility		$114.82	$151.36	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $630.96	Professional		$199.53	$309.03	$630.96