Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $2,865.00 / $10,152.00	Facility		$112.03	$2,865.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $117.46 / $240.62	Professional		$83.64	$117.46	$240.62
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 $86.88 / $112.86 / $282.13	Professional		$86.88	$112.86	$282.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $144.94 / $4,050.00	Facility		$144.94	$144.94	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $144.94 / $201.76	Professional		$144.94	$144.94	$201.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.72 / $172.72 / $14,648.00	Facility		$172.72	$172.72	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $159.88 / $357.41	Professional		$84.68	$159.88	$357.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $145.32 / $332.00	Facility		$82.00	$145.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $198.47 / $420.10	Professional		$170.08	$198.47	$420.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $135.82 / $267.64	Professional		$114.95	$135.82	$267.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $172.72 / $555.00 / $74,999.25	Facility		$172.72	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $177.22 / $372.32	Professional		$96.03	$177.22	$372.32
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 $99.16 / $169.04 / $351.59	Professional		$99.16	$169.04	$351.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.74 / $108.74 / $348.66	Facility		$108.74	$108.74	$348.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $155.50 / $320.32	Professional		$114.95	$155.50	$320.32