Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.59 / $3,133.00 / $7,307.00	Facility		$387.59	$3,133.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.42 / $507.51 / $4,361.91	Professional		$250.42	$507.51	$4,361.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.72 / $2,911.55 / $5,842.93	Professional		$490.72	$2,911.55	$5,842.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $341.22 / $341.22 / $4,050.00	Facility		$341.22	$341.22	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $341.22 / $341.22 / $3,931.17	Professional		$341.22	$341.22	$3,931.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $1,640.00 / $39,142.00	Facility		$406.07	$1,640.00	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.94 / $815.41 / $6,672.05	Professional		$279.94	$815.41	$6,672.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.06 / $332.00 / $610.00	Facility		$250.06	$332.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,322.91 / $3,010.57 / $4,465.14	Professional		$2,322.91	$3,010.57	$4,465.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $2,050.44	Facility		$639.45	$639.45	$2,050.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.54 / $2,827.38 / $4,308.08	Professional		$364.54	$2,827.38	$4,308.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $1,640.00 / $39,142.00	Facility		$406.07	$1,640.00	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $314.49 / $2,231.63 / $7,044.94	Professional		$314.49	$2,231.63	$7,044.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.39 / $2,974.70 / $7,058.49	Professional		$787.39	$2,974.70	$7,058.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $286.54 / $286.54 / $641.08	Facility		$286.54	$286.54	$641.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $364.54 / $2,775.83 / $4,553.58	Professional		$364.54	$2,775.83	$4,553.58