Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.32 / $3,731.00 / $9,038.00	Facility		$120.32	$3,731.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $94.98 / $199.25	Professional		$79.58	$94.98	$199.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,111.00 / $8,590.17	Facility		$2,393.00	$4,111.00	$8,590.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $83.86 / $203.63	Professional		$64.15	$83.86	$203.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $111.08 / $111.08 / $37,499.62	Facility		$111.08	$111.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $111.08 / $111.08	Professional		$111.08	$111.08	$111.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $89.88 / $7,227.90	Facility		$89.88	$89.88	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $152.33 / $438.02	Professional		$57.25	$152.33	$438.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $132.00 / $332.00	Facility		$87.95	$132.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $106.27 / $159.04	Professional		$86.42	$106.27	$159.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $85.03 / $145.85	Professional		$67.65	$85.03	$145.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.88 / $555.00 / $7,227.90	Facility		$89.88	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $147.88 / $343.82	Professional		$81.23	$147.88	$343.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $99.18 / $231.34	Professional		$64.83	$99.18	$231.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $349.13	Facility		$85.03	$85.03	$349.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $97.73 / $184.94	Professional		$72.28	$97.73	$184.94