Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.29 / $4,648.00 / $11,396.00	Facility		$151.29	$4,648.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $160.13 / $403.08	Professional		$128.63	$160.13	$403.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,109.00 / $8,410.00	Facility		$2,393.00	$4,109.00	$8,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $137.56 / $329.72	Professional		$105.23	$137.56	$329.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.65 / $173.65 / $37,499.62	Facility		$173.65	$173.65	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $173.65 / $173.65 / $173.65	Professional		$173.65	$173.65	$173.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $143.41 / $7,227.90	Facility		$143.41	$143.41	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $253.69 / $709.20	Professional		$125.82	$253.69	$709.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $276.00 / $477.48	Facility		$148.44	$276.00	$477.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.03 / $165.78 / $272.70	Professional		$150.03	$165.78	$272.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $121.32 / $225.58	Professional		$99.35	$121.32	$225.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $597.00 / $74,999.25	Facility		$143.41	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $246.11 / $651.79	Professional		$131.26	$246.11	$651.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $186.23 / $432.14	Professional		$125.61	$186.23	$432.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $141.88 / $580.29	Facility		$141.88	$141.88	$580.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $142.44 / $291.04	Professional		$105.46	$142.44	$291.04