Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.99 / $4,043.00 / $9,038.00	Facility		$250.99	$4,043.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $153.05 / $335.45	Professional		$132.93	$153.05	$335.45
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 $122.19 / $157.47 / $381.91	Professional		$122.19	$157.47	$381.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $215.03 / $1,716.00 / $6,213.00	Facility		$215.03	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $215.03 / $215.03 / $215.03	Professional		$215.03	$215.03	$215.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.77 / $177.77 / $177.77	Facility		$177.77	$177.77	$177.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $220.54 / $558.50	Professional		$121.15	$220.54	$558.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.08 / $255.15 / $405.18	Facility		$180.08	$255.15	$405.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.12 / $210.51 / $444.80	Professional		$178.12	$210.51	$444.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.87 / $177.19 / $281.25	Professional		$123.87	$177.19	$281.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $177.77 / $555.00 / $74,999.25	Facility		$177.77	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.74 / $228.10 / $559.95	Professional		$156.74	$228.10	$559.95
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 $97.01 / $181.70 / $404.99	Professional		$97.01	$181.70	$404.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $163.41 / $973.29	Facility		$163.41	$163.41	$973.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $207.70 / $481.33	Professional		$138.90	$207.70	$481.33