Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.51 / $5,700.00 / $10,686.00	Facility		$742.51	$5,700.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $164.16 / $742.51	Professional		$113.47	$164.16	$742.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $143.44 / $291.26	Professional		$115.51	$143.44	$291.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $171.49 / $171.49 / $171.49	Facility		$171.49	$171.49	$171.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $171.49 / $171.49 / $171.49	Professional		$171.49	$171.49	$171.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $14,648.00 / $19,692.00	Facility		$142.26	$14,648.00	$19,692.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $164.91 / $445.90	Professional		$103.84	$164.91	$445.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $153.09 / $332.00	Facility		$94.00	$153.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.57 / $130.31 / $203.26	Professional		$111.57	$130.31	$203.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $127.11 / $204.58	Professional		$78.86	$127.11	$204.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $597.00 / $74,999.25	Facility		$142.26	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $405.39 / $1,255.45	Professional		$112.60	$405.39	$1,255.45
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $104.34 / $267.64	Professional		$70.95	$104.34	$267.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.85 / $131.85 / $179.83	Facility		$131.85	$131.85	$179.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $131.85 / $235.66	Professional		$78.86	$131.85	$235.66