Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.33 / $3,060.00 / $8,907.44	Facility		$204.33	$3,060.00	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $261.88 / $558.71	Professional		$137.83	$261.88	$558.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $269.48 / $719.32	Professional		$206.16	$269.48	$719.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $207.76 / $1,716.00 / $6,213.00	Facility		$207.76	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $207.76 / $450.78	Professional		$207.76	$207.76	$450.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $247.00 / $4,612.43	Facility		$247.00	$247.00	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $374.96 / $954.64	Professional		$148.28	$374.96	$954.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $182.16 / $393.98	Facility		$75.00	$182.16	$393.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $419.50 / $629.29	Professional		$327.38	$419.50	$629.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $302.42 / $589.22	Professional		$223.78	$302.42	$589.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $555.00 / $4,612.43	Facility		$247.00	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $175.96 / $405.57 / $1,005.52	Professional		$175.96	$405.57	$1,005.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,786.00 / $4,840.00	Facility		$1,079.00	$2,786.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.79 / $358.75 / $819.21	Professional		$240.79	$358.75	$819.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.53 / $164.53 / $399.81	Facility		$164.53	$164.53	$399.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $338.82 / $589.22	Professional		$223.78	$338.82	$589.22