Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $2,865.00 / $10,152.00	Facility		$83.92	$2,865.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $90.19 / $181.66	Professional		$62.55	$90.19	$181.66
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 $67.26 / $85.29 / $211.16	Professional		$67.26	$85.29	$211.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.72 / $102.72 / $4,050.00	Facility		$102.72	$102.72	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $102.72 / $150.47	Professional		$102.72	$102.72	$150.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $122.95 / $14,648.00	Facility		$122.95	$122.95	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $119.78 / $258.50	Professional		$61.03	$119.78	$258.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $103.80 / $332.00	Facility		$58.00	$103.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $149.00 / $315.49	Professional		$128.55	$149.00	$315.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $101.79 / $200.20	Professional		$79.98	$101.79	$200.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $555.00 / $74,999.25	Facility		$122.95	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $132.63 / $284.97	Professional		$74.25	$132.63	$284.97
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 $74.00 / $125.50 / $286.74	Professional		$74.00	$125.50	$286.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $77.34 / $249.36	Facility		$77.34	$77.34	$249.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $107.06 / $228.73	Professional		$77.34	$107.06	$228.73