Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.53 / $4,452.00 / $10,024.00	Facility		$187.53	$4,452.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $184.85 / $309.19	Professional		$147.47	$184.85	$309.19
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 $113.72 / $148.66 / $332.63	Professional		$113.72	$148.66	$332.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.55 / $1,990.00 / $8,917.50	Facility		$194.55	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $194.55 / $194.55 / $194.55	Professional		$194.55	$194.55	$194.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.58 / $156.58 / $5,246.94	Facility		$156.58	$156.58	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $246.17 / $519.73	Professional		$118.06	$246.17	$519.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $145.11 / $225.00 / $365.92	Facility		$145.11	$225.00	$365.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $198.80 / $281.35	Professional		$146.37	$198.80	$281.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $140.00 / $233.66	Professional		$102.98	$140.00	$233.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $156.58 / $597.00 / $74,999.25	Facility		$156.58	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $243.52 / $519.73	Professional		$119.60	$243.52	$519.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $189.28 / $424.10	Professional		$141.50	$189.28	$424.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $171.38 / $171.38 / $481.31	Facility		$171.38	$171.38	$481.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $171.38 / $342.43	Professional		$102.98	$171.38	$342.43