Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $3,111.00 / $8,134.00	Facility		$153.77	$3,111.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $221.37 / $385.57	Professional		$117.10	$221.37	$385.57
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 $178.22 / $232.97 / $523.69	Professional		$178.22	$232.97	$523.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.34 / $1,716.00 / $6,213.00	Facility		$154.34	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.34 / $154.34 / $343.42	Professional		$154.34	$154.34	$343.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.02 / $187.02 / $4,612.43	Facility		$187.02	$187.02	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $237.25 / $585.20	Professional		$111.17	$237.25	$585.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $140.59 / $332.00	Facility		$75.00	$140.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $308.97 / $471.81	Professional		$218.06	$308.97	$471.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $223.31 / $376.40	Professional		$121.15	$223.31	$376.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $187.02 / $597.00 / $74,999.25	Facility		$187.02	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $283.95 / $627.13	Professional		$145.38	$283.95	$627.13
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 $216.27 / $300.95 / $734.02	Professional		$216.27	$300.95	$734.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $136.61 / $136.61 / $355.95	Facility		$136.61	$136.61	$355.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $292.48 / $426.62	Professional		$121.15	$292.48	$426.62