Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.11 / $2,660.00 / $7,735.00	Facility		$187.11	$2,660.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $239.30 / $426.17	Professional		$132.75	$239.30	$426.17
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 $200.41 / $254.12 / $569.70	Professional		$200.41	$254.12	$569.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $214.94 / $1,254.00 / $4,050.00	Facility		$214.94	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $214.94 / $319.02	Professional		$214.94	$214.94	$319.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.09 / $244.09 / $3,479.91	Facility		$244.09	$244.09	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $330.32 / $754.29	Professional		$146.53	$330.32	$754.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $180.96 / $390.96	Facility		$35.00	$180.96	$390.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $291.75 / $436.63	Professional		$252.17	$291.75	$436.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.95 / $202.91 / $401.06	Professional		$187.95	$202.91	$401.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $244.09 / $555.00 / $3,479.91	Facility		$244.09	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $327.60 / $754.29	Professional		$168.28	$327.60	$754.29
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 $180.02 / $278.14 / $603.82	Professional		$180.02	$278.14	$603.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.16 / $165.16 / $363.21	Facility		$165.16	$165.16	$363.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $177.55 / $226.14 / $438.21	Professional		$177.55	$226.14	$438.21