Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.36 / $5,411.00 / $11,996.00	Facility		$230.36	$5,411.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $218.23 / $327.11	Professional		$170.27	$218.23	$327.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $212.27 / $443.43	Professional		$162.38	$212.27	$443.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $262.58 / $262.58 / $37,499.62	Facility		$262.58	$262.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $262.58 / $262.58	Professional		$262.58	$262.58	$262.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.42 / $211.42 / $45,917.00	Facility		$211.42	$211.42	$45,917.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $294.56 / $637.32	Professional		$186.78	$294.56	$637.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $294.00 / $1,083.21	Facility		$200.00	$294.00	$1,083.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.16 / $261.54 / $377.05	Professional		$196.16	$261.54	$377.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $174.94 / $315.95	Professional		$148.10	$174.94	$315.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $211.42 / $555.00 / $74,999.25	Facility		$211.42	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $198.31 / $294.56 / $612.72	Professional		$198.31	$294.56	$612.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $248.90 / $515.53	Professional		$176.50	$248.90	$515.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $250.73 / $250.73 / $660.83	Facility		$250.73	$250.73	$660.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $161.59 / $264.47 / $463.03	Professional		$161.59	$264.47	$463.03