Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.32 / $3,783.00 / $10,170.00	Facility		$130.32	$3,783.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $110.85 / $293.66	Professional		$91.84	$110.85	$293.66
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 $63.77 / $83.37 / $223.47	Professional		$63.77	$83.37	$223.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $1,254.00 / $4,050.00	Facility		$116.46	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Professional		$116.46	$116.46	$116.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.64 / $90.64 / $3,479.91	Facility		$90.64	$90.64	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $171.66 / $467.36	Professional		$81.18	$171.66	$467.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $175.00 / $332.00	Facility		$90.50	$175.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $109.36 / $163.66	Professional		$90.40	$109.36	$163.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $93.34 / $147.63	Professional		$67.06	$93.34	$147.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.64 / $597.00 / $74,999.25	Facility		$90.64	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $157.69 / $448.66	Professional		$90.40	$157.69	$448.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $116.20 / $260.97	Professional		$83.33	$116.20	$260.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.86 / $92.86 / $512.36	Facility		$92.86	$92.86	$512.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $99.44 / $190.47	Professional		$75.42	$99.44	$190.47