Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $4,043.00 / $9,661.00	Facility		$1,335.00	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $45.08 / $53.77	Professional		$8.00	$45.08	$53.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $18.71 / $49.86	Professional		$14.75	$18.71	$49.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $26.44 / $26.44	Facility		$26.44	$26.44	$26.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $26.44 / $26.44	Professional		$26.44	$26.44	$26.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $98.95 / $98.95	Facility		$98.95	$98.95	$98.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.71 / $414.71 / $414.71	Professional		$414.71	$414.71	$414.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $53.70 / $332.00	Facility		$31.59	$53.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $35.60 / $83.73	Professional		$22.11	$35.60	$83.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $110.35 / $147.69	Professional		$66.89	$110.35	$147.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $98.95 / $74,999.25	Facility		$98.95	$98.95	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $414.71 / $414.71 / $414.71	Professional		$414.71	$414.71	$414.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $28.85 / $85.22	Professional		$18.29	$28.85	$85.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $70.41 / $70.41	Facility		$18.51	$70.41	$70.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $70.41 / $147.69	Professional		$70.41	$70.41	$147.69