Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.57 / $3,859.00 / $10,170.00	Facility		$413.57	$3,859.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.52 / $411.85 / $833.00	Professional		$327.52	$411.85	$833.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.94 / $325.42 / $750.51	Professional		$248.94	$325.42	$750.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $440.54 / $1,254.00 / $4,050.00	Facility		$440.54	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $440.54 / $440.54 / $440.54	Professional		$440.54	$440.54	$440.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $357.11 / $3,479.91	Facility		$357.11	$357.11	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.41 / $483.83 / $1,106.14	Professional		$298.41	$483.83	$1,106.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $332.00 / $851.85	Facility		$175.00	$332.00	$851.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.74 / $454.32 / $654.98	Professional		$340.74	$454.32	$654.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $305.26 / $519.65	Professional		$183.93	$305.26	$519.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $597.00 / $74,999.25	Facility		$357.11	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $298.41 / $493.26 / $1,101.77	Professional		$298.41	$493.26	$1,101.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.50 / $401.79 / $953.66	Professional		$299.50	$401.79	$953.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $399.82 / $399.82 / $994.28	Facility		$399.82	$399.82	$994.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $458.02 / $798.86	Professional		$183.93	$458.02	$798.86