Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.93 / $3,449.00 / $7,839.00	Facility		$285.93	$3,449.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $229.88 / $452.68	Professional		$162.38	$229.88	$452.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.65 / $203.47 / $476.58	Professional		$155.65	$203.47	$476.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $270.64 / $1,254.00 / $4,050.00	Facility		$270.64	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $270.64	Professional		$270.64	$270.64	$270.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $220.27 / $3,479.91	Facility		$220.27	$220.27	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $346.79 / $780.72	Professional		$148.72	$346.79	$780.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.21 / $282.00 / $505.01	Facility		$218.21	$282.00	$505.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.47 / $273.83 / $394.59	Professional		$226.47	$273.83	$394.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $181.84 / $356.53	Professional		$145.47	$181.84	$356.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $597.00 / $8,498.00	Facility		$220.27	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $196.49 / $342.34 / $767.61	Professional		$196.49	$342.34	$767.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $244.11 / $543.54	Professional		$161.94	$244.11	$543.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $210.03 / $210.03 / $697.75	Facility		$210.03	$210.03	$697.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $241.40 / $456.81	Professional		$145.47	$241.40	$456.81