Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.47 / $3,316.00 / $7,343.00	Facility		$81.47	$3,316.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $86.37 / $177.52	Professional		$49.45	$86.37	$177.52
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 $60.54 / $80.37 / $199.62	Professional		$60.54	$80.37	$199.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.88 / $78.88 / $4,050.00	Facility		$78.88	$78.88	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $78.88 / $133.79	Professional		$78.88	$78.88	$133.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $14,648.00	Facility		$94.50	$94.50	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $103.80 / $214.92	Professional		$51.37	$103.80	$214.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $106.57 / $332.00	Facility		$64.79	$106.57	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $129.87 / $268.00	Professional		$109.89	$129.87	$268.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $113.92 / $174.05	Professional		$79.12	$113.92	$174.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $555.00 / $74,999.25	Facility		$94.50	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $116.79 / $257.24	Professional		$60.43	$116.79	$257.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,633.00	Facility		$1,283.00	$2,597.00	$4,633.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $109.54 / $235.76	Professional		$63.31	$109.54	$235.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $59.33 / $296.99	Facility		$59.33	$59.33	$296.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $115.02 / $221.85	Professional		$65.16	$115.02	$221.85