Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.95 / $4,392.00 / $11,396.00	Facility		$234.95	$4,392.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $213.64 / $391.20	Professional		$172.46	$213.64	$391.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,381.00 / $4,120.00 / $8,640.00	Facility		$2,381.00	$4,120.00	$8,640.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $287.55 / $483.39	Professional		$238.98	$287.55	$483.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $263.91 / $263.91 / $37,499.62	Facility		$263.91	$263.91	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $263.91 / $263.91 / $263.91	Professional		$263.91	$263.91	$263.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $217.92	Facility		$217.92	$217.92	$217.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $302.91 / $898.77	Professional		$184.50	$302.91	$898.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $226.38 / $347.22 / $806.40	Facility		$226.38	$347.22	$806.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.07 / $292.25 / $446.76	Professional		$204.07	$292.25	$446.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.14 / $174.14 / $174.14	Facility		$174.14	$174.14	$174.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $238.78 / $394.35	Professional		$152.01	$238.78	$394.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $555.00 / $37,776.00	Facility		$217.92	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $308.24 / $836.40	Professional		$196.76	$308.24	$836.40
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 $172.71 / $261.32 / $614.09	Professional		$172.71	$261.32	$614.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $314.76 / $314.76 / $940.75	Facility		$314.76	$314.76	$940.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $257.29 / $472.55	Professional		$166.25	$257.29	$472.55