Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.98 / $3,797.00 / $9,523.00	Facility		$297.98	$3,797.00	$9,523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $318.06 / $663.73	Professional		$211.62	$318.06	$663.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.49 / $289.72 / $717.38	Professional		$228.49	$289.72	$717.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.19 / $275.19 / $8,917.50	Facility		$275.19	$275.19	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $275.19 / $438.96	Professional		$275.19	$275.19	$438.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.60 / $307.60 / $327.87	Facility		$307.60	$307.60	$327.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.45 / $335.05 / $719.27	Professional		$189.45	$335.05	$719.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $241.93 / $511.47	Facility		$100.00	$241.93	$511.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $405.61 / $640.62	Professional		$336.86	$405.61	$640.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $296.20 / $563.28	Professional		$190.44	$296.20	$563.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $307.60 / $555.00 / $74,999.25	Facility		$307.60	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $233.47 / $362.50 / $824.91	Professional		$233.47	$362.50	$824.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.29 / $345.71 / $674.87	Professional		$258.29	$345.71	$674.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $271.70 / $271.70 / $768.28	Facility		$271.70	$271.70	$768.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $312.00 / $687.19	Professional		$190.44	$312.00	$687.19