Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.90 / $3,060.00 / $7,343.00	Facility		$223.90	$3,060.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $183.80 / $327.88	Professional		$143.31	$183.80	$327.88
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 $124.35 / $162.56 / $381.78	Professional		$124.35	$162.56	$381.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $216.68 / $216.68 / $6,213.00	Facility		$216.68	$216.68	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $216.68 / $216.68	Professional		$216.68	$216.68	$216.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.07 / $177.07 / $14,648.00	Facility		$177.07	$177.07	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $277.58 / $704.04	Professional		$118.83	$277.58	$704.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $234.79 / $406.37	Facility		$145.00	$234.79	$406.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.61 / $211.80 / $316.97	Professional		$180.61	$211.80	$316.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $146.07 / $286.93	Professional		$128.55	$146.07	$286.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $177.07 / $555.00 / $74,999.25	Facility		$177.07	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $274.52 / $623.76	Professional		$157.12	$274.52	$623.76
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 $133.99 / $192.29 / $479.09	Professional		$133.99	$192.29	$479.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.03 / $169.03 / $556.82	Facility		$169.03	$169.03	$556.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $194.27 / $367.63	Professional		$133.16	$194.27	$367.63