Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,630.78 / $10,000.00	Facility		$162.18	$3,630.78	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $363.08	Professional		$112.20	$144.54	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $354.81	Professional		$97.72	$128.82	$354.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,995.26 / $8,912.51	Facility		$177.83	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $218.78	Professional		$177.83	$177.83	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $50,118.72	Facility		$213.80	$213.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $562.34	Professional		$128.82	$229.09	$562.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $199.53 / $436.52	Facility		$134.90	$199.53	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $309.03	Professional		$158.49	$213.80	$309.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $338.84	Professional		$112.20	$204.17	$338.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $50,118.72 / $75,857.76	Facility		$128.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $416.87	Professional		$169.82	$199.53	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $363.08	Professional		$125.89	$177.83	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $147.91 / $346.74	Facility		$104.71	$147.91	$346.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $338.84	Professional		$114.82	$190.55	$338.84