Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.69 / $4,043.00 / $10,296.00	Facility		$188.69	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $212.65 / $385.18	Professional		$180.90	$212.65	$385.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $173.44 / $390.43	Professional		$132.68	$173.44	$390.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $221.99 / $221.99 / $8,917.50	Facility		$221.99	$221.99	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $221.99 / $221.99 / $221.99	Professional		$221.99	$221.99	$221.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $181.54 / $14,648.00	Facility		$181.54	$181.54	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $282.79 / $589.54	Professional		$162.41	$282.79	$589.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $250.00 / $420.10	Facility		$178.00	$250.00	$420.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.04 / $224.05 / $323.01	Professional		$168.04	$224.05	$323.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $153.81 / $254.43	Professional		$116.96	$153.81	$254.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $555.00 / $74,999.25	Facility		$181.54	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $167.11 / $271.36 / $589.54	Professional		$167.11	$271.36	$589.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $214.67 / $491.39	Professional		$158.43	$214.67	$491.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $196.29 / $196.29 / $675.83	Facility		$196.29	$196.29	$675.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $196.29 / $392.20	Professional		$116.96	$196.29	$392.20