Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.42 / $4,441.00 / $10,170.00	Facility		$308.42	$4,441.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $238.84 / $397.04	Professional		$207.40	$238.84	$397.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $237.60 / $559.05	Professional		$181.76	$237.60	$559.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $318.07 / $1,990.00 / $8,917.50	Facility		$318.07	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $318.07 / $318.07 / $318.07	Professional		$318.07	$318.07	$318.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $256.99 / $14,648.00	Facility		$256.99	$256.99	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.09 / $359.27 / $870.36	Professional		$226.09	$359.27	$870.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $350.00 / $605.50	Facility		$250.00	$350.00	$605.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.30 / $343.97 / $507.84	Professional		$244.30	$343.97	$507.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.79 / $209.79 / $209.79	Facility		$209.79	$209.79	$209.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.14 / $268.51 / $473.65	Professional		$187.14	$268.51	$473.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $555.00 / $597.00	Facility		$256.99	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $236.96 / $358.80 / $808.01	Professional		$236.96	$358.80	$808.01
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.70 / $296.91 / $795.83	Professional		$203.70	$296.91	$795.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $268.51 / $268.51 / $1,158.02	Facility		$268.51	$268.51	$1,158.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $203.63 / $292.37 / $567.58	Professional		$203.63	$292.37	$567.58