Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,845.00 / $10,686.00	Facility		$1,516.00	$5,845.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.33 / $235.95 / $332.84	Professional		$214.33	$235.95	$332.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.14 / $284.55 / $529.67	Professional		$229.14	$284.55	$529.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,071.00 / $2,071.00 / $6,213.00	Facility		$2,071.00	$2,071.00	$6,213.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $324.00	Facility		$200.00	$200.00	$324.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.43 / $402.73 / $402.73	Professional		$247.43	$402.73	$402.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $125.00 / $180.00	Professional		$90.00	$125.00	$180.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $291.08 / $291.08 / $291.08	Facility		$291.08	$291.08	$291.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $291.08 / $402.73 / $402.73	Professional		$291.08	$402.73	$402.73