Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.88 / $1,005.44 / $1,005.44	Facility		$680.88	$1,005.44	$1,005.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.50 / $896.80 / $1,248.28	Professional		$456.50	$896.80	$1,248.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.16 / $700.20 / $1,477.42	Professional		$616.16	$700.20	$1,477.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $143.69 / $1,867.97	Facility		$143.69	$143.69	$1,867.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $143.69 / $1,867.97	Professional		$143.69	$143.69	$1,867.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $83.43 / $5,177.79	Professional		$71.76	$83.43	$5,177.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $73.23 / $73.23	Professional		$58.58	$73.23	$73.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $73.23 / $73.23	Facility		$73.23	$73.23	$73.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $162.61 / $1,594.24	Professional		$73.23	$162.61	$1,594.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $555.00 / $74,999.25	Facility		$64.00	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $183.87 / $382.85	Professional		$83.43	$183.87	$382.85
United Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $82.06 / $183.04	Professional		$40.98	$82.06	$183.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $1,626.12 / $1,626.12	Facility		$62.00	$1,626.12	$1,626.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $172.78 / $1,626.12	Professional		$73.23	$172.78	$1,626.12