Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.00 / $3,917.00 / $9,038.00	Facility		$592.00	$3,917.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $138.96 / $204.15	Professional		$51.17	$138.96	$204.15
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 $140.50 / $175.62 / $405.22	Professional		$140.50	$175.62	$405.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $82.70 / $4,050.00	Facility		$82.70	$82.70	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $82.70 / $231.19	Professional		$82.70	$82.70	$231.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $89.88 / $14,648.00	Facility		$89.88	$89.88	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $186.79 / $510.43	Professional		$63.91	$186.79	$510.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.99 / $67.76 / $332.00	Facility		$37.99	$67.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.61 / $190.37 / $284.89	Professional		$149.61	$190.37	$284.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $150.87 / $259.67	Professional		$118.03	$150.87	$259.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $89.88 / $74,999.25	Facility		$89.88	$89.88	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $206.63 / $476.91	Professional		$84.48	$206.63	$476.91
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 $112.61 / $206.76 / $489.51	Professional		$112.61	$206.76	$489.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $54.87 / $54.87	Facility		$54.87	$54.87	$54.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $150.87 / $282.25	Professional		$97.21	$150.87	$282.25