Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.91 / $2,920.00 / $7,563.00	Facility		$107.91	$2,920.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $85.20 / $190.70	Professional		$70.18	$85.20	$190.70
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 $78.45 / $96.25 / $185.33	Professional		$78.45	$96.25	$185.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $126.78 / $1,254.00 / $4,050.00	Facility		$126.78	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $126.78 / $135.85	Professional		$126.78	$126.78	$135.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $14,648.00	Facility		$151.97	$151.97	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $120.45 / $264.70	Professional		$62.41	$120.45	$264.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $135.59 / $332.00	Facility		$77.00	$135.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $130.91 / $278.70	Professional		$112.84	$130.91	$278.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $89.84 / $176.13	Professional		$76.72	$89.84	$176.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $555.00 / $74,999.25	Facility		$151.97	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $126.59 / $281.55	Professional		$73.04	$126.59	$281.55
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 $67.73 / $116.53 / $265.77	Professional		$67.73	$116.53	$265.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.54 / $94.54 / $320.76	Facility		$94.54	$94.54	$320.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $102.33 / $265.49	Professional		$76.72	$102.33	$265.49