Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,845.00 / $10,686.00	Facility		$1,516.00	$5,845.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.26 / $268.33 / $800.00	Professional		$227.26	$268.33	$800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.61 / $2,070.00 / $3,634.00	Professional		$402.61	$2,070.00	$3,634.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $290.89 / $290.89 / $37,499.62	Facility		$290.89	$290.89	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $290.89 / $290.89 / $290.89	Professional		$290.89	$290.89	$290.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $247.00 / $7,227.90	Facility		$247.00	$247.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.05 / $418.79 / $878.48	Professional		$192.05	$418.79	$878.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $205.58 / $313.52 / $610.00	Facility		$205.58	$313.52	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $253.44 / $513.12	Professional		$202.53	$253.44	$513.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $264.05 / $359.40	Professional		$145.62	$264.05	$359.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $555.00 / $7,227.90	Facility		$247.00	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.29 / $445.28 / $885.60	Professional		$200.29	$445.28	$885.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $206.61 / $525.84	Professional		$137.62	$206.61	$525.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $231.28 / $572.33	Facility		$231.28	$231.28	$572.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $268.97 / $455.27	Professional		$145.62	$268.97	$455.27