Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.03 / $2,865.00 / $10,152.00	Facility		$135.03	$2,865.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $142.75 / $265.44	Professional		$99.66	$142.75	$265.44
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 $103.93 / $130.03 / $317.24	Professional		$103.93	$130.03	$317.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $158.85 / $158.85 / $4,050.00	Facility		$158.85	$158.85	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.85 / $158.85 / $221.87	Professional		$158.85	$158.85	$221.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $190.18 / $14,648.00	Facility		$190.18	$190.18	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $184.98 / $393.43	Professional		$93.28	$184.98	$393.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $169.72 / $332.00	Facility		$98.00	$169.72	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $189.67 / $219.85 / $466.26	Professional		$189.67	$219.85	$466.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $150.16 / $294.58	Professional		$129.74	$150.16	$294.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $555.00 / $74,999.25	Facility		$190.18	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $201.55 / $429.86	Professional		$113.11	$201.55	$429.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.00 / $3,496.00 / $5,963.00	Facility		$1,336.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $187.15 / $403.95	Professional		$109.19	$187.15	$403.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $118.72 / $118.72 / $409.49	Facility		$118.72	$118.72	$409.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $157.53 / $349.71	Professional		$118.72	$157.53	$349.71