Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $2,952.00 / $7,839.00	Facility		$94.17	$2,952.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $118.10 / $265.33	Professional		$62.13	$118.10	$265.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $125.26 / $272.91	Professional		$75.73	$125.26	$272.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $1,716.00 / $6,213.00	Facility		$97.95	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.95 / $97.95 / $191.53	Professional		$97.95	$97.95	$191.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $116.69 / $14,648.00	Facility		$116.69	$116.69	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $129.16 / $280.42	Professional		$59.13	$129.16	$280.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $105.14 / $332.00	Facility		$63.00	$105.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $175.63 / $364.37	Professional		$148.61	$175.63	$364.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $123.42 / $236.92	Professional		$107.69	$123.42	$236.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $555.00 / $74,999.25	Facility		$116.69	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $158.88 / $338.77	Professional		$76.45	$158.88	$338.77
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 $87.19 / $157.44 / $343.42	Professional		$87.19	$157.44	$343.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.18 / $73.18 / $260.82	Facility		$73.18	$73.18	$260.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $126.69 / $270.68	Professional		$104.34	$126.69	$270.68