Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.08 / $3,582.00 / $8,585.12	Facility		$209.08	$3,582.00	$8,585.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $185.25 / $405.90	Professional		$146.00	$185.25	$405.90
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 $124.91 / $163.29 / $388.12	Professional		$124.91	$163.29	$388.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.41 / $1,716.00 / $6,213.00	Facility		$218.41	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $218.41 / $218.41 / $218.41	Professional		$218.41	$218.41	$218.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $177.47 / $4,612.43	Facility		$177.47	$177.47	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $286.72 / $643.14	Professional		$120.45	$286.72	$643.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $250.00 / $408.04	Facility		$180.00	$250.00	$408.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $212.72 / $318.33	Professional		$181.35	$212.72	$318.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $190.71 / $287.57	Professional		$128.83	$190.71	$287.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $597.00 / $8,498.00	Facility		$177.47	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $157.84 / $282.61 / $647.92	Professional		$157.84	$282.61	$647.92
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 $134.54 / $193.15 / $461.77	Professional		$134.54	$193.15	$461.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.41 / $169.41 / $578.94	Facility		$169.41	$169.41	$578.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $205.80 / $368.45	Professional		$144.00	$205.80	$368.45