Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.63 / $3,100.00 / $10,170.00	Facility		$278.63	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $276.70 / $470.87	Professional		$211.20	$276.70	$470.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $239.69 / $542.88	Professional		$193.01	$239.69	$542.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $330.47 / $330.47 / $37,499.62	Facility		$330.47	$330.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $330.47 / $330.47 / $330.47	Professional		$330.47	$330.47	$330.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $267.61 / $7,227.90	Facility		$267.61	$267.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.68 / $380.06 / $879.07	Professional		$201.68	$380.06	$879.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $248.24 / $328.80 / $626.90	Facility		$248.24	$328.80	$626.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $322.70 / $482.01	Professional		$267.77	$322.70	$482.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.56 / $214.56 / $214.56	Facility		$214.56	$214.56	$214.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $308.45 / $461.57	Professional		$187.02	$308.45	$461.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $555.00 / $7,227.90	Facility		$267.61	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $351.34 / $805.63	Professional		$239.27	$351.34	$805.63
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 $198.93 / $282.45 / $713.85	Professional		$198.93	$282.45	$713.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $275.02 / $275.02 / $685.08	Facility		$275.02	$275.02	$685.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $214.56 / $339.00 / $584.69	Professional		$214.56	$339.00	$584.69