Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.05 / $3,100.00 / $7,343.00	Facility		$234.05	$3,100.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $255.30 / $523.00	Professional		$127.37	$255.30	$523.00
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 $223.80 / $277.93 / $664.77	Professional		$223.80	$277.93	$664.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $182.49 / $182.49 / $4,050.00	Facility		$182.49	$182.49	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $182.49 / $182.49 / $431.24	Professional		$182.49	$182.49	$431.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.19 / $218.19 / $304.91	Facility		$218.19	$218.19	$304.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $262.77 / $649.85	Professional		$119.64	$262.77	$649.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.00 / $333.90	Facility		$100.00	$173.00	$333.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $324.07 / $388.99 / $615.88	Professional		$324.07	$388.99	$615.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $269.39 / $543.16	Professional		$163.78	$269.39	$543.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $218.19 / $555.00 / $74,999.25	Facility		$218.19	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $351.35 / $723.78	Professional		$152.00	$351.35	$723.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,908.00 / $8,133.00	Facility		$1,500.00	$3,908.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.30 / $339.25 / $658.97	Professional		$252.30	$339.25	$658.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $178.28 / $178.28 / $461.93	Facility		$178.28	$178.28	$461.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $300.86 / $622.83	Professional		$163.78	$300.86	$622.83