Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.21 / $3,783.00 / $10,170.00	Facility		$150.21	$3,783.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $145.47 / $350.87	Professional		$113.43	$145.47	$350.87
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 $93.98 / $122.85 / $278.89	Professional		$93.98	$122.85	$278.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $156.56 / $4,050.00	Facility		$156.56	$156.56	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $156.56 / $156.56	Professional		$156.56	$156.56	$156.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $129.58 / $3,479.91	Facility		$129.58	$129.58	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $227.14 / $668.55	Professional		$110.43	$227.14	$668.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $172.64 / $332.00	Facility		$100.00	$172.64	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $151.71 / $246.54	Professional		$136.90	$151.71	$246.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $129.78 / $206.32	Professional		$91.70	$129.78	$206.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $597.00 / $74,999.25	Facility		$129.58	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $221.43 / $575.14	Professional		$115.51	$221.43	$575.14
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 $113.99 / $166.86 / $524.05	Professional		$113.99	$166.86	$524.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.78 / $129.78 / $473.21	Facility		$129.78	$129.78	$473.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $138.97 / $266.18	Professional		$91.70	$138.97	$266.18