Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.86 / $2,920.00 / $7,563.00	Facility		$199.86	$2,920.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $159.91 / $367.06	Professional		$140.01	$159.91	$367.06
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 $146.03 / $180.60 / $360.66	Professional		$146.03	$180.60	$360.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $1,254.00 / $4,050.00	Facility		$231.28	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $231.28 / $250.38	Professional		$231.28	$231.28	$250.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $279.39 / $14,648.00	Facility		$279.39	$279.39	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $230.47 / $497.56	Professional		$121.73	$230.47	$497.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $247.43 / $438.32	Facility		$154.00	$247.43	$438.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $241.33 / $523.34	Professional		$208.21	$241.33	$523.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.46 / $168.64 / $322.23	Professional		$146.46	$168.64	$322.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $555.00 / $74,999.25	Facility		$279.39	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $139.71 / $240.89 / $500.26	Professional		$139.71	$240.89	$500.26
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 $127.13 / $197.54 / $486.28	Professional		$127.13	$197.54	$486.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $171.98 / $171.98 / $641.53	Facility		$171.98	$171.98	$641.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $153.83 / $187.21 / $506.59	Professional		$153.83	$187.21	$506.59