Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.86 / $2,920.00 / $7,307.00	Facility		$165.86	$2,920.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $241.02 / $501.44	Professional		$121.44	$241.02	$501.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.43 / $227.52 / $611.77	Professional		$179.43	$227.52	$611.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $168.31 / $168.31 / $6,213.00	Facility		$168.31	$168.31	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $168.31 / $168.31 / $381.25	Professional		$168.31	$168.31	$381.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.45 / $205.45 / $14,648.00	Facility		$205.45	$205.45	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $322.92 / $820.75	Professional		$131.66	$322.92	$820.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $149.71 / $332.00	Facility		$40.00	$149.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $353.93 / $529.67	Professional		$275.20	$353.93	$529.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $291.89 / $495.48	Professional		$182.15	$291.89	$495.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $205.45 / $205.45 / $74,999.25	Facility		$205.45	$205.45	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $343.13 / $849.29	Professional		$148.65	$343.13	$849.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $311.80 / $741.62	Professional		$198.75	$311.80	$741.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.96 / $133.96 / $385.90	Facility		$133.96	$133.96	$385.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $314.74 / $541.38	Professional		$182.15	$314.74	$541.38