Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.14 / $2,920.00 / $7,563.00	Facility		$171.14	$2,920.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $179.57 / $446.09	Professional		$116.41	$179.57	$446.09
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 $124.64 / $166.72 / $429.48	Professional		$124.64	$166.72	$429.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $182.80 / $182.80 / $4,050.00	Facility		$182.80	$182.80	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $182.80 / $182.80 / $309.32	Professional		$182.80	$182.80	$309.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.54 / $220.54 / $14,648.00	Facility		$220.54	$220.54	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $228.99 / $545.89	Professional		$124.60	$228.99	$545.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $191.16 / $343.26	Facility		$115.00	$191.16	$343.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $298.63 / $631.85	Professional		$257.64	$298.63	$631.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.04 / $203.33 / $408.10	Professional		$162.04	$203.33	$408.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $220.54 / $555.00 / $74,999.25	Facility		$220.54	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $266.38 / $604.95	Professional		$142.46	$266.38	$604.95
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 $145.43 / $240.13 / $543.84	Professional		$145.43	$240.13	$543.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $139.34 / $139.34 / $473.80	Facility		$139.34	$139.34	$473.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $237.11 / $466.26	Professional		$152.77	$237.11	$466.26