Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.56 / $2,630.57 / $7,343.00	Facility		$116.56	$2,630.57	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $130.46 / $314.95	Professional		$88.96	$130.46	$314.95
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 $118.53 / $147.19 / $296.17	Professional		$118.53	$147.19	$296.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $126.63 / $126.63 / $6,213.00	Facility		$126.63	$126.63	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $126.63 / $183.45	Professional		$126.63	$126.63	$183.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $153.75 / $3,479.91	Facility		$153.75	$153.75	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $189.64 / $422.52	Professional		$98.73	$189.64	$422.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.41 / $215.00 / $346.00	Facility		$104.41	$215.00	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.87 / $179.57 / $268.73	Professional		$154.87	$179.57	$268.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $129.63 / $244.15	Professional		$105.78	$129.63	$244.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $597.00 / $8,498.00	Facility		$153.75	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $194.16 / $429.78	Professional		$116.34	$194.16	$429.78
United Facility/Professional Facility Modifier Low / Median / High Price $716.16 / $2,705.00 / $4,840.00	Facility		$716.16	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $173.92 / $356.75	Professional		$129.47	$173.92	$356.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.38 / $102.38 / $316.23	Facility		$102.38	$102.38	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $160.99 / $269.31	Professional		$105.78	$160.99	$269.31