Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $2,626.00 / $9,038.00	Facility		$134.19	$2,626.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $164.77 / $297.98	Professional		$113.73	$164.77	$297.98
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 $125.23 / $161.32 / $342.30	Professional		$125.23	$161.32	$342.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $153.41 / $4,050.00	Facility		$153.41	$153.41	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $153.41 / $201.63	Professional		$153.41	$153.41	$201.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.32 / $189.32 / $14,648.00	Facility		$189.32	$189.32	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $229.85 / $504.00	Professional		$119.46	$229.85	$504.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $170.74 / $332.00	Facility		$100.00	$170.74	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $198.30 / $296.77	Professional		$169.38	$198.30	$296.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $176.08 / $265.83	Professional		$105.53	$176.08	$265.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $189.32 / $189.32 / $74,999.25	Facility		$189.32	$189.32	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $235.40 / $498.53	Professional		$123.50	$235.40	$498.53
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 $113.34 / $172.80 / $483.57	Professional		$113.34	$172.80	$483.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $150.05 / $150.05 / $363.08	Facility		$150.05	$150.05	$363.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $181.40 / $293.99	Professional		$105.53	$181.40	$293.99