Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $2,865.00 / $7,521.00	Facility		$152.93	$2,865.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $264.24 / $506.09	Professional		$111.33	$264.24	$506.09
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 $192.60 / $256.12 / $674.76	Professional		$192.60	$256.12	$674.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.78 / $1,254.00 / $4,050.00	Facility		$150.78	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $150.78 / $414.33	Professional		$150.78	$150.78	$414.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $178.20 / $3,479.91	Facility		$178.20	$178.20	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $297.23 / $833.81	Professional		$112.99	$297.23	$833.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $172.71 / $332.00	Facility		$110.00	$172.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $287.73 / $376.43 / $563.35	Professional		$287.73	$376.43	$563.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.59 / $318.99 / $528.58	Professional		$231.59	$318.99	$528.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $555.00 / $3,479.91	Facility		$178.20	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $354.78 / $863.10	Professional		$127.76	$354.78	$863.10
United Facility/Professional Facility Modifier Low / Median / High Price $831.78 / $2,705.00 / $4,840.00	Facility		$831.78	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.88 / $335.96 / $850.90	Professional		$230.88	$335.96	$850.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $114.16 / $396.71	Facility		$114.16	$114.16	$396.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $196.85 / $318.99 / $571.59	Professional		$196.85	$318.99	$571.59