Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.02 / $3,818.00 / $9,523.00	Facility		$145.02	$3,818.00	$9,523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $158.05 / $309.92	Professional		$94.81	$158.05	$309.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $169.16 / $369.28	Professional		$117.38	$169.16	$369.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $1,990.00 / $8,917.50	Facility		$148.97	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $148.97 / $251.63	Professional		$148.97	$148.97	$251.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.74 / $180.74 / $14,648.00	Facility		$180.74	$180.74	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $187.25 / $397.11	Professional		$92.11	$187.25	$397.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $163.28 / $332.00	Facility		$99.00	$163.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.55 / $238.20 / $493.04	Professional		$201.55	$238.20	$493.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $166.04 / $366.33	Professional		$145.74	$166.04	$366.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $180.74 / $555.00 / $74,999.25	Facility		$180.74	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $217.02 / $470.63	Professional		$110.87	$217.02	$470.63
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 $116.74 / $192.05 / $459.82	Professional		$116.74	$192.05	$459.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $113.67 / $410.30	Facility		$113.67	$113.67	$410.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $171.46 / $366.33	Professional		$141.21	$171.46	$366.33