Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.56 / $2,920.00 / $9,267.00	Facility		$120.56	$2,920.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $142.49 / $303.89	Professional		$86.62	$142.49	$303.89
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 $104.82 / $147.03 / $344.96	Professional		$104.82	$147.03	$344.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $135.26 / $4,050.00	Facility		$135.26	$135.26	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $135.26 / $262.26	Professional		$135.26	$135.26	$262.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $161.97 / $14,648.00	Facility		$161.97	$161.97	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $178.74 / $386.01	Professional		$94.17	$178.74	$386.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $125.02 / $332.00	Facility		$65.00	$125.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.02 / $242.91 / $508.87	Professional		$206.02	$242.91	$508.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $166.96 / $334.52	Professional		$120.15	$166.96	$334.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $555.00 / $74,999.25	Facility		$161.97	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.07 / $216.12 / $450.46	Professional		$108.07	$216.12	$450.46
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $209.48 / $463.09	Professional		$109.74	$209.48	$463.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $102.61 / $338.02	Facility		$102.61	$102.61	$338.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $178.89 / $382.19	Professional		$120.15	$178.89	$382.19