Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $1,819.00 / $7,353.38	Facility		$151.75	$1,819.00	$7,353.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $220.91 / $446.82	Professional		$117.35	$220.91	$446.82
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 $188.00 / $232.43 / $526.79	Professional		$188.00	$232.43	$526.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.95 / $169.95 / $169.95	Facility		$169.95	$169.95	$169.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $169.95 / $290.27	Professional		$169.95	$169.95	$290.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.36 / $199.36 / $14,648.00	Facility		$199.36	$199.36	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $269.83 / $643.85	Professional		$129.16	$269.83	$643.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $146.94 / $332.00	Facility		$62.00	$146.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.92 / $276.95 / $414.47	Professional		$226.92	$276.95	$414.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $227.32 / $385.87	Professional		$180.84	$227.32	$385.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.36 / $199.36 / $74,999.25	Facility		$199.36	$199.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $285.54 / $682.25	Professional		$140.51	$285.54	$682.25
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 $164.78 / $241.94 / $584.25	Professional		$164.78	$241.94	$584.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.69 / $133.69 / $385.31	Facility		$133.69	$133.69	$385.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $261.26 / $390.44	Professional		$170.83	$261.26	$390.44