Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.93 / $3,100.00 / $7,343.00	Facility		$171.93	$3,100.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $145.63 / $345.39	Professional		$120.69	$145.63	$345.39
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 $123.74 / $154.19 / $340.27	Professional		$123.74	$154.19	$340.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $196.96 / $1,254.00 / $4,050.00	Facility		$196.96	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $196.96 / $247.57	Professional		$196.96	$196.96	$247.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.31 / $236.31 / $236.31	Facility		$236.31	$236.31	$236.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $217.07 / $500.22	Professional		$122.70	$217.07	$500.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $187.92 / $368.12	Facility		$115.00	$187.92	$368.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $239.09 / $504.79	Professional		$206.27	$239.09	$504.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $204.63 / $374.80	Professional		$144.47	$204.63	$374.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $236.31 / $555.00 / $74,999.25	Facility		$236.31	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $223.97 / $513.55	Professional		$139.13	$223.97	$513.55
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 $117.18 / $203.78 / $441.93	Professional		$117.18	$203.78	$441.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.63 / $151.63 / $474.45	Facility		$151.63	$151.63	$474.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $231.00 / $446.65	Professional		$144.47	$231.00	$446.65