Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.18 / $4,392.00 / $10,296.00	Facility		$286.18	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $283.39 / $581.94	Professional		$214.10	$283.39	$581.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.20 / $260.39 / $612.63	Professional		$199.20	$260.39	$612.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $339.41 / $339.41 / $37,499.62	Facility		$339.41	$339.41	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $339.41 / $339.41 / $339.41	Professional		$339.41	$339.41	$339.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.80 / $274.80 / $7,227.90	Facility		$274.80	$274.80	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.10 / $460.72 / $1,234.10	Professional		$246.10	$460.72	$1,234.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $252.42 / $332.00 / $637.11	Facility		$252.42	$332.00	$637.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.66 / $317.29 / $489.87	Professional		$277.66	$317.29	$489.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.79 / $254.54 / $436.59	Professional		$193.79	$254.54	$436.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $274.80 / $555.00 / $7,227.90	Facility		$274.80	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $248.70 / $452.64 / $997.26	Professional		$248.70	$452.64	$997.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.08 / $304.10 / $727.34	Professional		$210.08	$304.10	$727.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $254.54 / $254.54 / $881.65	Facility		$254.54	$254.54	$881.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $292.55 / $553.61	Professional		$210.99	$292.55	$553.61