Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.37 / $1,844.67 / $4,404.51	Facility		$328.37	$1,844.67	$4,404.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.37 / $1,497.44 / $1,844.67	Professional		$328.37	$1,497.44	$1,844.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $1,844.67	Professional		$0.02	$0.03	$1,844.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $415.38 / $415.38 / $415.38	Facility		$415.38	$415.38	$415.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $415.38 / $415.38 / $415.38	Professional		$415.38	$415.38	$415.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $273.74 / $273.74	Facility		$143.26	$273.74	$273.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.23 / $38,249.62 / $38,249.62	Professional		$1,516.23	$38,249.62	$38,249.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $792.50 / $1,198.58	Professional		$634.00	$792.50	$1,198.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $273.74 / $597.00	Facility		$143.26	$273.74	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $3,041.17	Professional		$2,170.19	$2,170.19	$3,041.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $932.35 / $932.35 / $1,198.58	Facility		$932.35	$932.35	$1,198.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $792.50 / $932.35 / $1,844.67	Professional		$792.50	$932.35	$1,844.67