Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.47 / $4,452.00 / $10,024.00	Facility		$167.47	$4,452.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $164.03 / $307.33	Professional		$134.62	$164.03	$307.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $145.88 / $316.75	Professional		$113.55	$145.88	$316.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $1,990.00 / $8,917.50	Facility		$172.77	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $172.77 / $172.77	Professional		$172.77	$172.77	$172.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $137.06 / $5,246.94	Facility		$137.06	$137.06	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $216.80 / $429.82	Professional		$95.84	$216.80	$429.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.01 / $285.00 / $456.00	Facility		$134.01	$285.00	$456.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $195.18 / $241.56	Professional		$136.53	$195.18	$241.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $173.33 / $227.00	Professional		$108.77	$173.33	$227.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $597.00 / $74,999.25	Facility		$137.06	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $216.80 / $432.12	Professional		$123.29	$216.80	$432.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,772.00 / $16,315.49	Facility		$2,705.00	$7,772.00	$16,315.49
United Facility/Professional Professional Modifier Low / Median / High Price $120.61 / $166.51 / $362.62	Professional		$120.61	$166.51	$362.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $152.27 / $152.27 / $613.14	Facility		$152.27	$152.27	$613.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $173.33 / $304.25	Professional		$111.32	$173.33	$304.25