Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $2,920.00 / $7,563.00	Facility		$182.89	$2,920.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.12 / $146.72 / $336.17	Professional		$132.12	$146.72	$336.17
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 $130.83 / $162.47 / $335.97	Professional		$130.83	$162.47	$335.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $211.75 / $1,254.00 / $4,050.00	Facility		$211.75	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $211.75 / $211.75 / $225.12	Professional		$211.75	$211.75	$225.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $256.52 / $14,648.00	Facility		$256.52	$256.52	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $214.04 / $448.06	Professional		$110.22	$214.04	$448.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $227.19 / $402.73	Facility		$141.00	$227.19	$402.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.14 / $216.92 / $470.88	Professional		$187.14	$216.92	$470.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $158.24 / $289.93	Professional		$127.69	$158.24	$289.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $555.00 / $74,999.25	Facility		$256.52	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $219.96 / $504.79	Professional		$130.91	$219.96	$504.79
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 $113.33 / $183.63 / $400.78	Professional		$113.33	$183.63	$400.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $157.82 / $157.82 / $578.66	Facility		$157.82	$157.82	$578.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.29 / $168.45 / $464.88	Professional		$138.29	$168.45	$464.88