Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.28 / $2,792.00 / $7,307.00	Facility		$121.28	$2,792.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $208.84 / $616.03	Professional		$92.23	$208.84	$616.03
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 $203.27 / $263.55 / $752.37	Professional		$203.27	$263.55	$752.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $126.78 / $126.78 / $4,050.00	Facility		$126.78	$126.78	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $126.78 / $340.20	Professional		$126.78	$126.78	$340.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.02 / $150.02 / $3,479.91	Facility		$150.02	$150.02	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $292.91 / $977.95	Professional		$105.01	$292.91	$977.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $124.56 / $332.00	Facility		$72.00	$124.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.55 / $321.52 / $460.95	Professional		$263.55	$321.52	$460.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $331.26 / $522.04	Professional		$200.67	$331.26	$522.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $150.02 / $555.00 / $3,479.91	Facility		$150.02	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $310.48 / $1,091.13	Professional		$124.27	$310.48	$1,091.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $295.27 / $749.53	Professional		$190.33	$295.27	$749.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.04 / $95.04 / $179.86	Facility		$95.04	$95.04	$179.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $189.57 / $313.31 / $522.04	Professional		$189.57	$313.31	$522.04