Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $2,902.00 / $9,038.00	Facility		$63.98	$2,902.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $139.28 / $215.99	Professional		$48.89	$139.28	$215.99
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 $100.52 / $130.35 / $310.63	Professional		$100.52	$130.35	$310.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.31 / $61.31 / $4,050.00	Facility		$61.31	$61.31	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $168.74	Professional		$61.31	$61.31	$168.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $3,479.91	Facility		$76.73	$76.73	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $105.78 / $277.37	Professional		$36.78	$105.78	$277.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $77.12 / $332.00	Facility		$49.00	$77.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $152.80 / $228.76	Professional		$104.20	$152.80	$228.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $121.71 / $186.15	Professional		$103.69	$121.71	$186.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $597.00 / $74,999.25	Facility		$76.73	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $151.36 / $308.35	Professional		$52.36	$151.36	$308.35
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 $110.65 / $163.11 / $350.06	Professional		$110.65	$163.11	$350.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $56.52 / $178.82	Facility		$56.52	$56.52	$178.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $145.16 / $228.98	Professional		$78.86	$145.16	$228.98