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 $137.97 / $227.99 / $677.00	Professional		$137.97	$227.99	$677.00
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 / $1,079.79 / $2,415.00	Professional		$402.61	$1,079.79	$2,415.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.85 / $269.85 / $37,499.62	Facility		$269.85	$269.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.85 / $269.85 / $269.85	Professional		$269.85	$269.85	$269.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $7,227.90	Facility		$222.44	$222.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.49 / $389.66 / $832.39	Professional		$183.49	$389.66	$832.39
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 / $432.14	Professional		$202.53	$253.44	$432.14
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 $222.44 / $555.00 / $7,227.90	Facility		$222.44	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $247.84 / $715.84	Professional		$175.00	$247.84	$715.84
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 $150.32 / $212.26 / $525.84	Professional		$150.32	$212.26	$525.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $231.28 / $768.82	Facility		$231.28	$231.28	$768.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $268.97 / $455.27	Professional		$145.62	$268.97	$455.27