Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.03 / $3,996.00 / $9,038.00	Facility		$520.03	$3,996.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.10 / $452.35 / $970.48	Professional		$321.10	$452.35	$970.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,161.00 / $9,153.00	Facility		$2,393.00	$4,161.00	$9,153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.74 / $386.59 / $854.10	Professional		$295.74	$386.59	$854.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $532.37 / $532.37 / $37,499.62	Facility		$532.37	$532.37	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $532.37 / $532.37 / $532.37	Professional		$532.37	$532.37	$532.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.73 / $420.73 / $420.73	Facility		$420.73	$420.73	$420.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.43 / $466.89 / $1,058.58	Professional		$306.43	$466.89	$1,058.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $394.21 / $951.66	Facility		$250.00	$394.21	$951.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $413.41 / $507.55 / $788.42	Professional		$413.41	$507.55	$788.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $350.74 / $695.91	Professional		$193.00	$350.74	$695.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $420.73 / $555.00 / $74,999.25	Facility		$420.73	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $310.04 / $481.49 / $1,058.58	Professional		$310.04	$481.49	$1,058.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,683.00 / $4,194.00 / $9,202.00	Facility		$1,683.00	$4,194.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.29 / $422.54 / $856.05	Professional		$318.29	$422.54	$856.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $514.27 / $514.27 / $1,051.51	Facility		$514.27	$514.27	$1,051.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $514.27 / $956.22	Professional		$193.00	$514.27	$956.22