Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.44 / $3,783.00 / $10,170.00	Facility		$138.44	$3,783.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $119.96 / $345.88	Professional		$98.53	$119.96	$345.88
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 $89.19 / $113.09 / $283.50	Professional		$89.19	$113.09	$283.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $147.79 / $4,050.00	Facility		$147.79	$147.79	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.79 / $147.79 / $147.79	Professional		$147.79	$147.79	$147.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.75 / $122.75 / $3,479.91	Facility		$122.75	$122.75	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $222.19 / $645.21	Professional		$105.15	$222.19	$645.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $164.14 / $332.00	Facility		$100.00	$164.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $144.25 / $234.61	Professional		$130.22	$144.25	$234.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $123.13 / $195.74	Professional		$87.55	$123.13	$195.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $122.75 / $597.00 / $74,999.25	Facility		$122.75	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $202.06 / $546.04	Professional		$109.88	$202.06	$546.04
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 $104.13 / $149.19 / $346.92	Professional		$104.13	$149.19	$346.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.13 / $123.13 / $479.04	Facility		$123.13	$123.13	$479.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $131.85 / $252.54	Professional		$89.21	$131.85	$252.54