Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.05 / $4,043.00 / $10,296.00	Facility		$217.05	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.05 / $244.45 / $427.68	Professional		$200.05	$244.45	$427.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $199.69 / $449.97	Professional		$152.76	$199.69	$449.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $256.37 / $256.37 / $37,499.62	Facility		$256.37	$256.37	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $256.37 / $256.37 / $256.37	Professional		$256.37	$256.37	$256.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $206.17 / $7,227.90	Facility		$206.17	$206.17	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.46 / $312.75 / $666.91	Professional		$187.46	$312.75	$666.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.64 / $273.69 / $479.05	Facility		$190.64	$273.69	$479.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $212.91 / $255.49 / $368.33	Professional		$212.91	$255.49	$368.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $248.80 / $307.36	Professional		$153.63	$248.80	$307.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $597.00 / $74,999.25	Facility		$206.17	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $189.54 / $307.01 / $651.09	Professional		$189.54	$307.01	$651.09
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 $185.34 / $246.08 / $601.91	Professional		$185.34	$246.08	$601.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $225.44 / $225.44 / $386.87	Facility		$225.44	$225.44	$386.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.87 / $252.05 / $373.76	Professional		$165.87	$252.05	$373.76