Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.76 / $3,100.00 / $8,134.00	Facility		$273.76	$3,100.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $325.70 / $625.65	Professional		$205.31	$325.70	$625.65
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 $198.54 / $259.54 / $764.93	Professional		$198.54	$259.54	$764.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $282.69 / $1,716.00 / $6,213.00	Facility		$282.69	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $282.69 / $282.69 / $421.63	Professional		$282.69	$282.69	$421.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.30 / $339.30 / $4,612.43	Facility		$339.30	$339.30	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.41 / $447.62 / $1,007.72	Professional		$205.41	$447.62	$1,007.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $247.31 / $523.15	Facility		$65.00	$247.31	$523.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $339.64 / $398.69 / $596.66	Professional		$339.64	$398.69	$596.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.85 / $297.02 / $542.34	Professional		$244.85	$297.02	$542.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $339.30 / $555.00 / $4,612.43	Facility		$339.30	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $225.75 / $453.20 / $1,055.88	Professional		$225.75	$453.20	$1,055.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.42 / $371.34 / $846.97	Professional		$241.42	$371.34	$846.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $239.28 / $239.28 / $858.90	Facility		$239.28	$239.28	$858.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $363.42 / $616.42	Professional		$239.28	$363.42	$616.42