Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $2,626.00 / $9,868.00	Facility		$67.16	$2,626.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $96.01 / $199.10	Professional		$58.71	$96.01	$199.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $85.33 / $224.25	Professional		$65.27	$85.33	$224.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.37 / $75.37 / $4,050.00	Facility		$75.37	$75.37	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $75.37 / $118.82	Professional		$75.37	$75.37	$118.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.04 / $89.04 / $14,648.00	Facility		$89.04	$89.04	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $104.04 / $247.80	Professional		$47.35	$104.04	$247.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $105.00 / $332.00	Facility		$58.67	$105.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $115.46 / $173.36	Professional		$86.60	$115.46	$173.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $97.08 / $150.09	Professional		$77.23	$97.08	$150.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.04 / $555.00 / $74,999.25	Facility		$89.04	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $113.97 / $264.95	Professional		$59.71	$113.97	$264.95
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 $72.92 / $102.45 / $231.76	Professional		$72.92	$102.45	$231.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.66 / $67.66 / $247.23	Facility		$67.66	$67.66	$247.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $110.09 / $173.65	Professional		$70.36	$110.09	$173.65