Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,072.00 / $9,661.00	Facility		$1,508.00	$4,072.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $400.00 / $400.00	Professional		$48.16	$400.00	$400.00
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 $83.06 / $145.32 / $227.63	Professional		$83.06	$145.32	$227.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $95.96 / $12,319.50	Facility		$95.96	$95.96	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $95.96 / $95.96 / $145.13	Professional		$95.96	$95.96	$145.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.26 / $112.26 / $14,648.00	Facility		$112.26	$112.26	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.58 / $305.58 / $459.92	Professional		$305.58	$305.58	$459.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $129.97 / $332.00	Facility		$71.84	$129.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $124.56 / $272.37	Professional		$64.59	$124.56	$272.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $115.34 / $212.02	Professional		$92.27	$115.34	$212.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $112.26 / $555.00 / $74,999.25	Facility		$112.26	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $129.69 / $256.77	Professional		$91.67	$129.69	$256.77
United Facility/Professional Facility Modifier Low / Median / High Price $575.94 / $2,705.00 / $4,840.00	Facility		$575.94	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $115.72 / $251.95	Professional		$70.19	$115.72	$251.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.93 / $63.93 / $66.97	Facility		$63.93	$63.93	$66.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $96.15 / $212.02	Professional		$63.93	$96.15	$212.02