Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $4,073.80 / $10,000.00	Facility		$371.54	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $724.44	Professional		$194.98	$239.88	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $18,620.87	Facility		$4,570.88	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $549.54	Professional		$165.96	$208.93	$549.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $16,595.87	Facility		$295.12	$295.12	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $338.84 / $50,118.72	Facility		$34.67	$338.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $407.38 / $954.99	Professional		$165.96	$407.38	$954.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $724.44	Facility		$190.55	$302.00	$724.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $380.19	Professional		$204.17	$251.19	$380.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $416.87	Professional		$181.97	$269.15	$416.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $524.81	Professional		$239.88	$295.12	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $12,882.50	Facility		$2,398.83	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $616.60	Professional		$158.49	$234.42	$616.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $398.11	Facility		$162.18	$213.80	$398.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $501.19	Professional		$162.18	$269.15	$501.19