Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $384.56 / $91,191.00	Facility		$217.02	$384.56	$91,191.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.02 / $283.98 / $963.46	Professional		$217.02	$283.98	$963.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $5,352.00 / $131,516.00	Facility		$2,451.00	$5,352.00	$131,516.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.86 / $278.00 / $573.54	Professional		$223.86	$278.00	$573.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $302.69 / $302.69 / $302.69	Facility		$302.69	$302.69	$302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $302.69 / $302.69 / $302.69	Professional		$302.69	$302.69	$302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.39 / $7,227.90 / $49,369.00	Facility		$250.39	$7,227.90	$49,369.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $24.61 / $24.61 / $24.61	Facility	AS	$24.61	$24.61	$24.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $443.20 / $1,128.33	Professional		$218.00	$443.20	$1,128.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $273.33 / $617.09	Facility		$155.00	$273.33	$617.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $334.60 / $1,201.26	Professional		$260.99	$334.60	$1,201.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $247.57 / $393.58	Professional		$173.34	$247.57	$393.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $250.39 / $47,916.75 / $97,605.00	Facility		$250.39	$47,916.75	$97,605.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $24.61 / $24.61 / $24.61	Facility	AS	$24.61	$24.61	$24.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $408.65 / $1,057.36	Professional		$216.45	$408.65	$1,057.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.75 / $325.42 / $767.84	Professional		$220.75	$325.42	$767.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $247.57 / $247.57 / $677.23	Facility		$247.57	$247.57	$677.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $265.10 / $507.78	Professional		$178.19	$265.10	$507.78