Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.35 / $6,617.00 / $15,890.00	Facility		$387.35	$6,617.00	$15,890.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $385.51 / $670.37	Professional		$298.70	$385.51	$670.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,389.67 / $4,111.00 / $8,410.00	Facility		$2,389.67	$4,111.00	$8,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.07 / $298.07 / $686.89	Professional		$235.07	$298.07	$686.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $389.31 / $389.31 / $37,499.62	Facility		$389.31	$389.31	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $389.31 / $389.31 / $389.31	Professional		$389.31	$389.31	$389.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.02 / $325.02 / $7,227.90	Facility		$325.02	$325.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $453.65 / $972.86	Professional		$277.51	$453.65	$972.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.56 / $476.46 / $764.06	Facility		$300.56	$476.46	$764.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $301.94 / $402.59 / $580.40	Professional		$301.94	$402.59	$580.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $278.76 / $461.70	Professional		$198.33	$278.76	$461.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $325.02 / $597.00 / $74,999.25	Facility		$325.02	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $261.61 / $433.82 / $969.39	Professional		$261.61	$433.82	$969.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.39 / $369.99 / $1,004.64	Professional		$277.39	$369.99	$1,004.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $356.14 / $356.14 / $406.58	Facility		$356.14	$356.14	$406.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $356.14 / $561.75	Professional		$198.33	$356.14	$561.75