Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.68 / $3,100.00 / $10,170.00	Facility		$292.68	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $288.33 / $487.51	Professional		$220.84	$288.33	$487.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.48 / $247.73 / $558.79	Professional		$199.48	$247.73	$558.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $342.11 / $342.11 / $37,499.62	Facility		$342.11	$342.11	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $342.11 / $342.11 / $342.11	Professional		$342.11	$342.11	$342.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $276.41 / $7,227.90	Facility		$276.41	$276.41	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $396.36 / $912.87	Professional		$207.29	$396.36	$912.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $347.00 / $649.05	Facility		$282.00	$347.00	$649.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $259.62 / $332.59 / $499.05	Professional		$259.62	$332.59	$499.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.80 / $221.80 / $221.80	Facility		$221.80	$221.80	$221.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $255.07 / $440.84	Professional		$193.15	$255.07	$440.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $555.00 / $7,227.90	Facility		$276.41	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $246.84 / $366.43 / $833.71	Professional		$246.84	$366.43	$833.71
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $205.05 / $286.55 / $680.27	Professional		$205.05	$286.55	$680.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $284.05 / $284.05 / $1,021.22	Facility		$284.05	$284.05	$1,021.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.13 / $318.57 / $603.86	Professional		$200.13	$318.57	$603.86