Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.21 / $3,419.00 / $8,134.00	Facility		$350.21	$3,419.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.15 / $329.87 / $651.53	Professional		$212.15	$329.87	$651.53
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 $283.47 / $359.43 / $848.19	Professional		$283.47	$359.43	$848.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $331.95 / $331.95 / $4,050.00	Facility		$331.95	$331.95	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $331.95 / $331.95 / $532.00	Professional		$331.95	$331.95	$532.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.89 / $313.89 / $392.80	Facility		$313.89	$313.89	$392.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.82 / $404.21 / $837.33	Professional		$212.82	$404.21	$837.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.08 / $319.00 / $592.55	Facility		$245.08	$319.00	$592.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.05 / $493.65 / $774.22	Professional		$407.05	$493.65	$774.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.23 / $340.45 / $681.77	Professional		$202.23	$340.45	$681.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $313.89 / $555.00 / $74,999.25	Facility		$313.89	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $447.69 / $965.45	Professional		$269.01	$447.69	$965.45
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 $318.89 / $422.67 / $836.84	Professional		$318.89	$422.67	$836.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $319.31 / $319.31 / $773.03	Facility		$319.31	$319.31	$773.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.23 / $377.63 / $781.75	Professional		$202.23	$377.63	$781.75