Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.71 / $2,660.00 / $7,521.00	Facility		$223.71	$2,660.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $311.27 / $581.99	Professional		$156.10	$311.27	$581.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.73 / $358.47 / $804.49	Professional		$286.73	$358.47	$804.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $232.23 / $232.23 / $4,050.00	Facility		$232.23	$232.23	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $232.23 / $232.23 / $525.39	Professional		$232.23	$232.23	$525.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $14,648.00	Facility		$266.83	$266.83	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.97 / $370.36 / $1,038.56	Professional		$167.97	$370.36	$1,038.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $250.00 / $576.78	Facility		$160.00	$250.00	$576.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $347.54 / $471.12 / $706.67	Professional		$347.54	$471.12	$706.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $407.74 / $723.00	Professional		$287.52	$407.74	$723.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $37,776.00	Facility		$266.83	$266.83	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $435.46 / $1,130.13	Professional		$180.68	$435.46	$1,130.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.83 / $447.13 / $1,048.76	Professional		$313.83	$447.13	$1,048.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.38 / $181.38 / $824.00	Facility		$181.38	$181.38	$824.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $310.18 / $460.26 / $723.00	Professional		$310.18	$460.26	$723.00