Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.27 / $4,043.00 / $10,296.00	Facility		$275.27	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $309.67 / $563.29	Professional		$254.00	$309.67	$563.29
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 $194.06 / $253.68 / $583.05	Professional		$194.06	$253.68	$583.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $326.27 / $326.27 / $37,499.62	Facility		$326.27	$326.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $326.27 / $326.27 / $326.27	Professional		$326.27	$326.27	$326.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.74 / $262.74 / $7,227.90	Facility		$262.74	$262.74	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.09 / $384.89 / $831.24	Professional		$233.09	$384.89	$831.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $332.00 / $1,342.20	Facility		$241.82	$332.00	$1,342.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.89 / $324.07 / $467.20	Professional		$247.89	$324.07	$467.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.46 / $278.57 / $391.24	Professional		$189.46	$278.57	$391.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $262.74 / $597.00 / $74,999.25	Facility		$262.74	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.63 / $378.78 / $814.74	Professional		$239.63	$378.78	$814.74
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 $235.09 / $315.39 / $726.70	Professional		$235.09	$315.39	$726.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $286.95 / $286.95 / $477.09	Facility		$286.95	$286.95	$477.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $286.95 / $475.76	Professional		$210.42	$286.95	$475.76