Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $4,043.00 / $10,296.00	Facility		$163.41	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $174.41 / $313.67	Professional		$147.80	$174.41	$313.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $140.88 / $332.31	Professional		$107.78	$140.88	$332.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $184.02 / $184.02 / $37,499.62	Facility		$184.02	$184.02	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $184.02 / $184.02	Professional		$184.02	$184.02	$184.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $148.60 / $7,227.90	Facility		$148.60	$148.60	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $230.65 / $475.48	Professional		$128.74	$230.65	$475.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $346.50 / $835.59	Facility		$154.00	$346.50	$835.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $189.88 / $266.42	Professional		$154.00	$189.88	$266.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $185.08 / $220.81	Professional		$105.09	$185.08	$220.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $597.00 / $74,999.25	Facility		$148.60	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $242.81 / $485.03	Professional		$135.27	$242.81	$485.03
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 $128.74 / $177.42 / $396.31	Professional		$128.74	$177.42	$396.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $161.94 / $971.18	Facility		$161.94	$161.94	$971.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $185.08 / $323.58	Professional		$118.87	$185.08	$323.58