Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $2,792.00 / $7,521.00	Facility		$98.07	$2,792.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $129.57 / $281.45	Professional		$77.23	$129.57	$281.45
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 $80.67 / $105.46 / $306.48	Professional		$80.67	$105.46	$306.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $100.82 / $4,050.00	Facility		$100.82	$100.82	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $100.82 / $220.66	Professional		$100.82	$100.82	$220.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $121.92 / $3,479.91	Facility		$121.92	$121.92	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $180.89 / $499.99	Professional		$83.04	$180.89	$499.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $86.84 / $332.00	Facility		$35.00	$86.84	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $215.25 / $322.14	Professional		$165.69	$215.25	$322.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $178.12 / $293.37	Professional		$100.07	$178.12	$293.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $555.00 / $3,479.91	Facility		$121.92	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $194.41 / $499.99	Professional		$94.50	$194.41	$499.99
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 $110.99 / $171.03 / $406.78	Professional		$110.99	$171.03	$406.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.27 / $92.27 / $252.01	Facility		$92.27	$92.27	$252.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $181.63 / $325.63	Professional		$100.07	$181.63	$325.63