Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.32 / $3,754.00 / $9,038.00	Facility		$272.32	$3,754.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $230.35 / $488.69	Professional		$160.68	$230.35	$488.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $197.39 / $447.09	Professional		$151.00	$197.39	$447.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $265.49 / $1,254.00 / $4,050.00	Facility		$265.49	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $265.49 / $265.49 / $265.49	Professional		$265.49	$265.49	$265.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.12 / $214.12 / $2,203.26	Facility		$214.12	$214.12	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.68 / $248.22 / $581.74	Professional		$156.68	$248.22	$581.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $279.93 / $484.49	Facility		$208.00	$279.93	$484.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $258.39 / $401.88	Professional		$210.60	$258.39	$401.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $189.73 / $404.12	Professional		$105.07	$189.73	$404.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.12 / $597.00 / $74,999.25	Facility		$214.12	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $256.50 / $581.41	Professional		$169.08	$256.50	$581.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,248.00 / $11,098.00	Facility		$2,063.00	$5,248.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $209.00 / $430.46	Professional		$161.50	$209.00	$430.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $260.44 / $260.44 / $558.12	Facility		$260.44	$260.44	$558.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $260.44 / $520.27	Professional		$105.07	$260.44	$520.27