Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.91 / $524.73 / $687.33	Facility		$461.91	$524.73	$687.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.45 / $637.85 / $1,670.39	Professional		$497.45	$637.85	$1,670.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.88 / $444.30 / $958.72	Professional		$339.88	$444.30	$958.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $545.61 / $545.61 / $37,499.62	Facility		$545.61	$545.61	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $545.61 / $545.61 / $545.61	Professional		$545.61	$545.61	$545.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $745.00 / $47,618.00	Facility		$332.00	$745.00	$47,618.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.72 / $550.29 / $793.34	Professional		$412.72	$550.29	$793.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.91 / $376.63 / $624.62	Professional		$276.91	$376.63	$624.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $343.50 / $564.75 / $1,141.04	Professional		$343.50	$564.75	$1,141.04
United Facility/Professional Professional Modifier Low / Median / High Price $399.19 / $518.76 / $1,154.58	Professional		$399.19	$518.76	$1,154.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $482.92 / $482.92 / $1,446.21	Facility		$482.92	$482.92	$1,446.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $276.91 / $550.54 / $964.90	Professional		$276.91	$550.54	$964.90