Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.40 / $2,865.00 / $7,521.00	Facility		$179.40	$2,865.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $190.13 / $346.04	Professional		$124.82	$190.13	$346.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.59 / $201.91 / $434.64	Professional		$162.59	$201.91	$434.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $182.85 / $1,254.00 / $4,050.00	Facility		$182.85	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $182.85 / $182.85 / $279.77	Professional		$182.85	$182.85	$279.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $1,685.80	Facility		$216.90	$216.90	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $209.56 / $452.34	Professional		$117.39	$209.56	$452.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $205.50 / $332.98	Facility		$137.00	$205.50	$332.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $262.10 / $412.14	Professional		$216.59	$262.10	$412.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $180.76 / $415.04	Professional		$102.88	$180.76	$415.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $597.00 / $74,999.25	Facility		$216.90	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $235.71 / $483.83	Professional		$147.52	$235.71	$483.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,908.00 / $8,133.00	Facility		$1,500.00	$3,908.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.52 / $213.35 / $486.68	Professional		$161.52	$213.35	$486.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $178.15 / $178.15 / $400.09	Facility		$178.15	$178.15	$400.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $267.48 / $495.48	Professional		$102.88	$267.48	$495.48