Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.47 / $2,865.00 / $7,839.00	Facility		$69.47	$2,865.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $113.60 / $205.01	Professional		$46.66	$113.60	$205.01
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 $81.34 / $103.03 / $305.64	Professional		$81.34	$103.03	$305.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $70.50 / $4,050.00	Facility		$70.50	$70.50	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $70.50 / $177.93	Professional		$70.50	$70.50	$177.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $14,648.00	Facility		$85.08	$85.08	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $123.76 / $333.64	Professional		$51.17	$123.76	$333.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.33 / $86.28 / $332.00	Facility		$53.33	$86.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $181.87 / $265.50	Professional		$129.32	$181.87	$265.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $163.77 / $255.58	Professional		$103.12	$163.77	$255.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $597.00	Facility		$85.08	$85.08	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $143.47 / $358.86	Professional		$52.50	$143.47	$358.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $139.11 / $410.42	Professional		$102.46	$139.11	$410.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $165.30	Facility		$65.69	$65.69	$165.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $163.40 / $255.58	Professional		$115.11	$163.40	$255.58