Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.11 / $3,205.00 / $7,343.00	Facility		$198.11	$3,205.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $224.01 / $403.96	Professional		$138.04	$224.01	$403.96
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 $166.55 / $217.72 / $520.61	Professional		$166.55	$217.72	$520.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $184.95 / $1,716.00 / $6,213.00	Facility		$184.95	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $184.95 / $184.95 / $300.97	Professional		$184.95	$184.95	$300.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.82 / $226.82 / $4,612.43	Facility		$226.82	$226.82	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $289.97 / $690.00	Professional		$133.40	$289.97	$690.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $129.00 / $206.40 / $346.25	Facility		$129.00	$206.40	$346.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.84 / $281.20 / $420.83	Professional		$240.84	$281.20	$420.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.30 / $228.42 / $387.75	Professional		$178.30	$228.42	$387.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $226.82 / $597.00 / $8,498.00	Facility		$226.82	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $300.42 / $707.11	Professional		$162.69	$300.42	$707.11
United Facility/Professional Facility Modifier Low / Median / High Price $585.67 / $2,705.00 / $4,840.00	Facility		$585.67	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.68 / $261.81 / $592.74	Professional		$178.68	$261.81	$592.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $145.53 / $440.08	Facility		$145.53	$145.53	$440.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $262.52 / $423.66	Professional		$171.66	$262.52	$423.66