Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $4,043.00 / $10,296.00	Facility		$82.84	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $89.26 / $165.79	Professional		$67.25	$89.26	$165.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $4,085.00 / $8,410.00	Facility		$2,292.00	$4,085.00	$8,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $72.81 / $158.13	Professional		$55.70	$72.81	$158.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $97.25 / $37,499.62	Facility		$97.25	$97.25	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $97.25 / $97.25	Professional		$97.25	$97.25	$97.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $77.44 / $7,227.90	Facility		$77.44	$77.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $111.10 / $229.37	Professional		$52.44	$111.10	$229.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $130.00 / $332.00	Facility		$75.97	$130.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $91.80 / $137.38	Professional		$66.79	$91.80	$137.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $67.23 / $111.83	Professional		$47.65	$67.23	$111.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $597.00 / $74,999.25	Facility		$77.44	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $110.20 / $229.37	Professional		$54.56	$110.20	$229.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $81.84 / $183.16	Professional		$59.37	$81.84	$183.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $86.65 / $273.29	Facility		$86.65	$86.65	$273.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $98.57 / $173.13	Professional		$47.65	$98.57	$173.13