Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.66 / $3,000.00 / $7,307.00	Facility		$87.66	$3,000.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $97.81 / $189.79	Professional		$68.26	$97.81	$189.79
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 $61.21 / $80.02 / $204.02	Professional		$61.21	$80.02	$204.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.63 / $89.63 / $4,050.00	Facility		$89.63	$89.63	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $89.63 / $124.96	Professional		$89.63	$89.63	$124.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.89 / $108.89 / $3,479.91	Facility		$108.89	$108.89	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $136.44 / $308.33	Professional		$69.14	$136.44	$308.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $77.34 / $332.00	Facility		$35.00	$77.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $120.10 / $179.74	Professional		$102.03	$120.10	$179.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $107.68 / $160.65	Professional		$70.80	$107.68	$160.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.89 / $555.00 / $3,479.91	Facility		$108.89	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $137.16 / $303.77	Professional		$77.15	$137.16	$303.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $99.88 / $261.05	Professional		$71.42	$99.88	$261.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $224.76	Facility		$81.48	$81.48	$224.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $114.75 / $179.08	Professional		$70.80	$114.75	$179.08