Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.43 / $4,910.00 / $10,517.90	Facility		$317.43	$4,910.00	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.09 / $271.08 / $493.18	Professional		$220.09	$271.08	$493.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.81 / $234.36 / $568.50	Professional		$181.81	$234.36	$568.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $335.12 / $335.12 / $37,499.62	Facility		$335.12	$335.12	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $335.12 / $335.12 / $335.12	Professional		$335.12	$335.12	$335.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.02 / $275.02 / $7,227.90	Facility		$275.02	$275.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.72 / $479.71 / $912.46	Professional		$295.72	$479.71	$912.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.67 / $440.00 / $704.00	Facility		$257.67	$440.00	$704.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $283.44 / $319.35 / $504.85	Professional		$283.44	$319.35	$504.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $253.93 / $441.34	Professional		$192.38	$253.93	$441.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $275.02 / $555.00 / $7,227.90	Facility		$275.02	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.37 / $444.22 / $907.19	Professional		$295.37	$444.22	$907.19
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 $215.65 / $321.88 / $683.25	Professional		$215.65	$321.88	$683.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $256.89 / $256.89 / $863.50	Facility		$256.89	$256.89	$863.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $256.89 / $499.06	Professional		$200.00	$256.89	$499.06