Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.83 / $3,020.00 / $8,010.66	Facility		$458.83	$3,020.00	$8,010.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.48 / $411.90 / $689.60	Professional		$333.48	$411.90	$689.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.00 / $3,280.00 / $4,707.00	Facility		$1,655.00	$3,280.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $347.44 / $733.45	Professional		$279.77	$347.44	$733.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $487.53 / $487.53 / $487.53	Facility		$487.53	$487.53	$487.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $487.53 / $487.53 / $487.53	Professional		$487.53	$487.53	$487.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $392.68 / $392.68	Facility		$392.68	$392.68	$392.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $562.26 / $1,183.64	Professional		$303.62	$562.26	$1,183.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $332.00 / $886.23	Facility		$300.00	$332.00	$886.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.49 / $480.53 / $688.09	Professional		$354.49	$480.53	$688.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.08 / $317.08 / $317.08	Facility		$317.08	$317.08	$317.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $475.64 / $722.98	Professional		$229.13	$475.64	$722.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $392.68 / $74,999.25	Facility		$392.68	$392.68	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $365.34 / $515.11 / $1,074.18	Professional		$365.34	$515.11	$1,074.18
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,739.00 / $4,840.00	Facility		$835.00	$2,739.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $434.93 / $1,017.09	Professional		$313.14	$434.93	$1,017.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $434.23 / $434.23 / $1,321.32	Facility		$434.23	$434.23	$1,321.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $235.89 / $493.71 / $937.21	Professional		$235.89	$493.71	$937.21