Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.30 / $4,043.00 / $10,296.00	Facility		$320.30	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.88 / $360.35 / $659.80	Professional		$298.88	$360.35	$659.80
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 $225.75 / $295.10 / $690.38	Professional		$225.75	$295.10	$690.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $379.82 / $379.82 / $37,499.62	Facility		$379.82	$379.82	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $379.82 / $379.82 / $379.82	Professional		$379.82	$379.82	$379.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.18 / $305.18 / $7,227.90	Facility		$305.18	$305.18	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $476.60 / $984.01	Professional		$275.45	$476.60	$984.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $280.14 / $376.00 / $1,553.32	Facility		$280.14	$376.00	$1,553.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.29 / $375.05 / $540.69	Professional		$281.29	$375.05	$540.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.23 / $293.06 / $454.46	Professional		$234.23	$293.06	$454.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $305.18 / $597.00 / $74,999.25	Facility		$305.18	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $282.48 / $465.68 / $983.88	Professional		$282.48	$465.68	$983.88
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 $271.20 / $363.19 / $815.96	Professional		$271.20	$363.19	$815.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $333.34 / $333.34 / $589.84	Facility		$333.34	$333.34	$589.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $244.06 / $333.34 / $552.64	Professional		$244.06	$333.34	$552.64