Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.29 / $3,060.00 / $9,038.00	Facility		$50.29	$3,060.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $161.06 / $273.20	Professional		$38.11	$161.06	$273.20
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 $118.96 / $168.20 / $376.09	Professional		$118.96	$168.20	$376.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $1,716.00 / $6,213.00	Facility		$48.34	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $229.77	Professional		$48.34	$48.34	$229.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.73 / $56.73 / $4,612.43	Facility		$56.73	$56.73	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $119.39 / $363.30	Professional		$28.80	$119.39	$363.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $83.50 / $332.00	Facility		$37.20	$83.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $186.50 / $279.11	Professional		$138.94	$186.50	$279.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $149.19 / $246.31	Professional		$123.42	$149.19	$246.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.73 / $597.00 / $74,999.25	Facility		$56.73	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $177.33 / $402.34	Professional		$40.70	$177.33	$402.34
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 $141.54 / $202.94 / $462.67	Professional		$141.54	$202.94	$462.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $42.01 / $150.28	Facility		$42.01	$42.01	$150.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $162.28 / $284.95	Professional		$83.95	$162.28	$284.95