Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $3,419.00 / $9,477.00	Facility		$130.08	$3,419.00	$9,477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $196.19 / $404.65	Professional		$101.73	$196.19	$404.65
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 $138.30 / $201.05 / $675.20	Professional		$138.30	$201.05	$675.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $1,254.00 / $4,050.00	Facility		$129.62	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $129.62 / $129.62	Professional		$129.62	$129.62	$129.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.92 / $101.92 / $3,479.91	Facility		$101.92	$101.92	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $172.86 / $469.80	Professional		$71.31	$172.86	$469.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $154.34 / $332.00	Facility		$103.00	$154.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $149.78 / $208.60	Professional		$104.78	$149.78	$208.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $133.65 / $234.41	Professional		$82.72	$133.65	$234.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $101.92 / $597.00 / $74,999.25	Facility		$101.92	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $180.60 / $579.66	Professional		$90.63	$180.60	$579.66
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 $91.88 / $130.26 / $450.23	Professional		$91.88	$130.26	$450.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $115.80 / $363.69	Facility		$115.80	$115.80	$363.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $133.65 / $234.41	Professional		$85.84	$133.65	$234.41