Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.39 / $1,331.32 / $1,676.44	Facility		$1,122.39	$1,331.32	$1,676.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.58 / $1,545.75 / $3,874.98	Professional		$1,212.58	$1,545.75	$3,874.98
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 $788.95 / $1,031.31 / $2,290.88	Professional		$788.95	$1,031.31	$2,290.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,331.88 / $1,331.88 / $37,499.62	Facility		$1,331.88	$1,331.88	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,331.88 / $1,331.88 / $1,331.88	Professional		$1,331.88	$1,331.88	$1,331.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,925.00 / $47,618.00	Facility		$332.00	$1,925.00	$47,618.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.28 / $1,361.56 / $1,934.30	Professional		$1,006.28	$1,361.56	$1,934.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.26 / $901.25 / $1,523.20	Professional		$711.26	$901.25	$1,523.20
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 $876.99 / $1,378.40 / $2,753.33	Professional		$876.99	$1,378.40	$2,753.33
United Facility/Professional Professional Modifier Low / Median / High Price $973.30 / $1,283.33 / $2,954.78	Professional		$973.30	$1,283.33	$2,954.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,177.18 / $1,177.18 / $3,662.83	Facility		$1,177.18	$1,177.18	$3,662.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $711.26 / $1,342.55 / $2,352.05	Professional		$711.26	$1,342.55	$2,352.05