Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $3,731.00 / $9,267.00	Facility		$101.39	$3,731.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $95.78 / $152.81	Professional		$76.62	$95.78	$152.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $78.19 / $181.40	Professional		$59.81	$78.19	$181.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.08 / $1,254.00 / $4,050.00	Facility		$104.08	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $104.08 / $104.08	Professional		$104.08	$104.08	$104.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.43 / $84.43 / $3,479.91	Facility		$84.43	$84.43	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $139.19 / $304.33	Professional		$72.50	$139.19	$304.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $78.44 / $127.37 / $332.00	Facility		$78.44	$127.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $101.21 / $151.47	Professional		$84.91	$101.21	$151.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $89.87 / $135.63	Professional		$60.52	$89.87	$135.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.43 / $555.00 / $3,479.91	Facility		$84.43	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $130.69 / $304.33	Professional		$78.80	$130.69	$304.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,282.00	Facility		$1,768.00	$4,176.00	$8,282.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $92.57 / $254.83	Professional		$59.44	$92.57	$254.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $98.96 / $98.96 / $247.23	Facility		$98.96	$98.96	$247.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $98.96 / $156.99	Professional		$61.84	$98.96	$156.99