Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.75 / $2,626.00 / $7,343.00	Facility		$109.75	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.81 / $118.31 / $265.70	Professional		$83.81	$118.31	$265.70
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 $113.05 / $138.91 / $280.51	Professional		$113.05	$138.91	$280.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $118.97 / $118.97 / $4,050.00	Facility		$118.97	$118.97	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $118.97 / $173.88	Professional		$118.97	$118.97	$173.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.56 / $143.56 / $14,648.00	Facility		$143.56	$143.56	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $177.61 / $394.47	Professional		$92.61	$177.61	$394.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $143.56 / $332.00	Facility		$88.87	$143.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.31 / $168.95 / $252.85	Professional		$145.31	$168.95	$252.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $143.81 / $230.23	Professional		$100.70	$143.81	$230.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.56 / $555.00 / $74,999.25	Facility		$143.56	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $193.38 / $407.86	Professional		$109.50	$193.38	$407.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,583.00	Facility		$1,283.00	$2,597.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $165.18 / $338.54	Professional		$116.52	$165.18	$338.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.94 / $95.94 / $299.32	Facility		$95.94	$95.94	$299.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $151.47 / $253.95	Professional		$100.70	$151.47	$253.95