Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $2,626.00 / $10,152.00	Facility		$114.76	$2,626.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.39 / $150.38 / $291.39	Professional		$103.39	$150.38	$291.39
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 $101.85 / $133.13 / $323.99	Professional		$101.85	$133.13	$323.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $129.72 / $4,050.00	Facility		$129.72	$129.72	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $129.72 / $180.81	Professional		$129.72	$129.72	$180.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $154.22 / $3,479.91	Facility		$154.22	$154.22	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $201.12 / $444.01	Professional		$99.89	$201.12	$444.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $129.75 / $332.00	Facility		$75.00	$129.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $171.46 / $256.60	Professional		$142.76	$171.46	$256.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $137.72 / $236.23	Professional		$109.57	$137.72	$236.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $555.00 / $3,479.91	Facility		$154.22	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $201.25 / $436.83	Professional		$114.55	$201.25	$436.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.91 / $157.38 / $368.10	Professional		$105.91	$157.38	$368.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $97.71 / $257.60	Facility		$97.71	$97.71	$257.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $148.26 / $255.45	Professional		$97.71	$148.26	$255.45