Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $2,842.00 / $9,038.00	Facility		$153.63	$2,842.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $197.63 / $380.83	Professional		$117.88	$197.63	$380.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.25 / $189.88 / $485.57	Professional		$145.25	$189.88	$485.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $160.87 / $160.87 / $4,050.00	Facility		$160.87	$160.87	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $160.87 / $277.85	Professional		$160.87	$160.87	$277.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.27 / $197.27 / $14,648.00	Facility		$197.27	$197.27	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $269.88 / $655.66	Professional		$127.31	$269.88	$655.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $144.50 / $332.00	Facility		$35.00	$144.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.92 / $264.89 / $396.42	Professional		$221.92	$264.89	$396.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.31 / $226.48 / $351.50	Professional		$164.31	$226.48	$351.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $197.27 / $197.27 / $74,999.25	Facility		$197.27	$197.27	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $279.11 / $665.19	Professional		$138.19	$279.11	$665.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $239.82 / $573.19	Professional		$162.08	$239.82	$573.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $137.24 / $137.24 / $479.60	Facility		$137.24	$137.24	$479.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $235.54 / $380.10	Professional		$137.24	$235.54	$380.10