Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.81 / $4,043.00 / $10,170.00	Facility		$245.81	$4,043.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.17 / $246.84 / $509.20	Professional		$190.17	$246.84	$509.20
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 $160.97 / $210.42 / $516.00	Professional		$160.97	$210.42	$516.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $280.17 / $280.17 / $8,917.50	Facility		$280.17	$280.17	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $280.17 / $280.17 / $280.17	Professional		$280.17	$280.17	$280.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.39 / $230.39 / $14,648.00	Facility		$230.39	$230.39	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.79 / $401.12 / $758.25	Professional		$242.79	$401.12	$758.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $238.52 / $320.00 / $553.60	Facility		$238.52	$320.00	$553.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.98 / $266.05 / $420.32	Professional		$235.98	$266.05	$420.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $211.55 / $369.00	Professional		$121.61	$211.55	$369.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $230.39 / $230.39 / $74,999.25	Facility		$230.39	$230.39	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $247.03 / $377.45 / $758.25	Professional		$247.03	$377.45	$758.25
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 $174.31 / $254.24 / $570.47	Professional		$174.31	$254.24	$570.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $214.79 / $214.79 / $729.76	Facility		$214.79	$214.79	$729.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $214.79 / $417.26	Professional		$121.61	$214.79	$417.26