Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $2,865.00 / $7,343.00	Facility		$67.65	$2,865.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $117.13 / $219.54	Professional		$53.27	$117.13	$219.54
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 $94.02 / $119.41 / $280.25	Professional		$94.02	$119.41	$280.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $1,254.00 / $4,050.00	Facility		$69.44	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $69.44 / $158.72	Professional		$69.44	$69.44	$158.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $82.49 / $14,648.00	Facility		$82.49	$82.49	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $139.94 / $385.85	Professional		$55.13	$139.94	$385.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $80.94 / $332.00	Facility		$50.16	$80.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $138.84 / $207.78	Professional		$106.20	$138.84	$207.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $114.32 / $197.49	Professional		$92.75	$114.32	$197.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $82.49 / $74,999.25	Facility		$82.49	$82.49	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $153.78 / $391.32	Professional		$68.52	$153.78	$391.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $145.72 / $314.07	Professional		$99.39	$145.72	$314.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.50 / $51.50 / $167.77	Facility		$51.50	$51.50	$167.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $117.61 / $197.49	Professional		$86.98	$117.61	$197.49