Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $2,920.00 / $9,477.00	Facility		$153.00	$2,920.00	$9,477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $243.07 / $412.64	Professional		$114.77	$243.07	$412.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $215.86 / $564.26	Professional		$166.45	$215.86	$564.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $119.80 / $1,254.00 / $4,050.00	Facility		$119.80	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $119.80 / $278.79	Professional		$119.80	$119.80	$278.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.44 / $144.44 / $3,479.91	Facility		$144.44	$144.44	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $197.17 / $488.89	Professional		$91.09	$197.17	$488.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $94.20 / $168.00 / $332.00	Facility		$94.20	$168.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.55 / $248.24 / $371.50	Professional		$176.55	$248.24	$371.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $226.58 / $324.62	Professional		$170.07	$226.58	$324.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.44 / $597.00 / $74,999.25	Facility		$144.44	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $249.42 / $532.53	Professional		$101.62	$249.42	$532.53
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 $179.76 / $245.57 / $529.88	Professional		$179.76	$245.57	$529.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.02 / $107.02 / $502.18	Facility		$107.02	$107.02	$502.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $226.58 / $375.57	Professional		$152.16	$226.58	$375.57