Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.99 / $3,347.00 / $8,521.00	Facility		$179.99	$3,347.00	$8,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $308.23 / $581.30	Professional		$132.11	$308.23	$581.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $289.22 / $760.97	Professional		$232.90	$289.22	$760.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $176.09 / $1,990.00 / $8,917.50	Facility		$176.09	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $176.09 / $443.46	Professional		$176.09	$176.09	$443.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.68 / $215.68 / $5,246.94	Facility		$215.68	$215.68	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $316.70 / $840.00	Professional		$116.12	$316.70	$840.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $157.04 / $336.38	Facility		$30.00	$157.04	$336.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.57 / $398.16 / $595.86	Professional		$309.57	$398.16	$595.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.61 / $328.47 / $557.57	Professional		$232.61	$328.47	$557.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $215.68 / $555.00 / $5,246.94	Facility		$215.68	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.59 / $384.42 / $955.62	Professional		$161.59	$384.42	$955.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.87 / $380.41 / $943.19	Professional		$246.87	$380.41	$943.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $140.16 / $140.16 / $408.16	Facility		$140.16	$140.16	$408.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $329.31 / $609.22	Professional		$209.81	$329.31	$609.22