Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.51 / $4,910.00 / $11,396.00	Facility		$251.51	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.86 / $276.12 / $502.29	Professional		$224.86	$276.12	$502.29
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 $172.28 / $225.21 / $515.44	Professional		$172.28	$225.21	$515.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $290.89 / $290.89 / $37,499.62	Facility		$290.89	$290.89	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $290.89 / $290.89 / $290.89	Professional		$290.89	$290.89	$290.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.50 / $233.50 / $7,227.90	Facility		$233.50	$233.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.25 / $340.53 / $737.18	Professional		$206.25	$340.53	$737.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $213.76 / $298.10 / $536.65	Facility		$213.76	$298.10	$536.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.66 / $286.20 / $412.62	Professional		$214.66	$286.20	$412.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $210.39 / $347.25	Professional		$168.16	$210.39	$347.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $233.50 / $597.00 / $74,999.25	Facility		$233.50	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $214.05 / $335.15 / $721.87	Professional		$214.05	$335.15	$721.87
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 $207.36 / $277.36 / $664.73	Professional		$207.36	$277.36	$664.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $254.70 / $254.70 / $423.43	Facility		$254.70	$254.70	$423.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $254.70 / $422.27	Professional		$186.30	$254.70	$422.27