Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,936.00 / $9,868.00	Facility		$1,819.00	$4,936.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $158.51 / $177.30	Professional		$99.35	$158.51	$177.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $42.34 / $86.82	Professional		$34.46	$42.34	$86.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,106.50 / $4,106.50 / $12,319.50	Facility		$4,106.50	$4,106.50	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $159.47 / $159.47	Facility		$159.47	$159.47	$159.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $665.74 / $665.74	Professional		$133.19	$665.74	$665.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $198.15 / $198.15	Professional		$198.15	$198.15	$198.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $197.04 / $251.39	Professional		$131.36	$197.04	$251.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $555.00 / $74,999.25	Facility		$159.47	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $665.74 / $665.74	Professional		$133.19	$665.74	$665.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $2,871.00 / $4,840.00	Facility		$1,101.00	$2,871.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $156.97 / $322.24	Professional		$124.75	$156.97	$322.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.59 / $134.79 / $134.79	Facility		$132.59	$134.79	$134.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.59 / $134.79 / $251.39	Professional		$132.59	$134.79	$251.39