Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.83 / $2,518.00 / $7,307.00	Facility		$207.83	$2,518.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $432.91 / $927.45	Professional		$157.80	$432.91	$927.45
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 $516.04 / $675.48 / $1,379.53	Professional		$516.04	$675.48	$1,379.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $211.58 / $4,050.00	Facility		$211.58	$211.58	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $211.58 / $211.58 / $836.09	Professional		$211.58	$211.58	$836.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $14,648.00	Facility		$238.50	$238.50	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $502.43 / $1,691.82	Professional		$159.62	$502.43	$1,691.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $232.05 / $369.00	Facility		$148.00	$232.05	$369.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $546.35 / $635.64 / $951.26	Professional		$546.35	$635.64	$951.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.47 / $688.24 / $856.80	Professional		$399.47	$688.24	$856.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $74,999.25	Facility		$238.50	$238.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $622.99 / $1,650.77	Professional		$186.06	$622.99	$1,650.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.60 / $767.76 / $1,821.26	Professional		$495.60	$767.76	$1,821.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $445.44	Facility		$176.58	$176.58	$445.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $327.52 / $688.24 / $856.80	Professional		$327.52	$688.24	$856.80