Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.22 / $3,818.00 / $10,152.00	Facility		$192.22	$3,818.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $239.44 / $482.94	Professional		$121.90	$239.44	$482.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.49 / $285.12 / $680.11	Professional		$224.49	$285.12	$680.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $201.45 / $201.45 / $10,957.50	Facility		$201.45	$201.45	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $201.45 / $201.45 / $407.23	Professional		$201.45	$201.45	$407.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.68 / $241.68 / $7,227.90	Facility		$241.68	$241.68	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.06 / $348.33 / $952.07	Professional		$152.06	$348.33	$952.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $285.00 / $549.32	Facility		$156.00	$285.00	$549.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.74 / $360.43 / $541.04	Professional		$312.74	$360.43	$541.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $290.29 / $543.10	Professional		$198.86	$290.29	$543.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $241.68 / $597.00 / $23,610.00	Facility		$241.68	$597.00	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $386.53 / $907.20	Professional		$186.87	$386.53	$907.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $12,177.00	Facility		$2,264.00	$5,735.00	$12,177.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.74 / $353.51 / $828.05	Professional		$188.74	$353.51	$828.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $152.13 / $152.13 / $472.32	Facility		$152.13	$152.13	$472.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $298.14 / $543.10	Professional		$187.04	$298.14	$543.10