Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.47 / $3,100.00 / $7,343.00	Facility		$387.47	$3,100.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.98 / $385.12 / $696.62	Professional		$277.98	$385.12	$696.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.61 / $335.44 / $754.59	Professional		$256.61	$335.44	$754.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $448.72 / $448.72 / $6,213.00	Facility		$448.72	$448.72	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $448.72 / $448.72 / $459.22	Professional		$448.72	$448.72	$459.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $532.30 / $14,648.00	Facility		$222.28	$532.30	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.58 / $417.47 / $979.66	Professional		$264.58	$417.47	$979.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $332.00 / $827.55	Facility		$120.00	$332.00	$827.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $366.11 / $445.66 / $697.12	Professional		$366.11	$445.66	$697.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $307.35 / $607.29	Professional		$167.20	$307.35	$607.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $555.00 / $74,999.25	Facility		$222.28	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $422.61 / $996.21	Professional		$266.20	$422.61	$996.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $2,507.00 / $4,592.00	Facility		$1,101.00	$2,507.00	$4,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.35 / $367.04 / $797.50	Professional		$279.35	$367.04	$797.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $439.35 / $439.35 / $877.03	Facility		$439.35	$439.35	$877.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $439.35 / $816.92	Professional		$167.20	$439.35	$816.92