Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.13 / $3,659.00 / $9,038.00	Facility		$159.13	$3,659.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $143.28 / $220.36	Professional		$95.40	$143.28	$220.36
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 $88.07 / $113.50 / $276.12	Professional		$88.07	$113.50	$276.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $163.02 / $1,254.00 / $4,050.00	Facility		$163.02	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $163.02 / $163.02 / $163.02	Professional		$163.02	$163.02	$163.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $3,479.91	Facility		$130.00	$130.00	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $200.11 / $446.56	Professional		$115.78	$200.11	$446.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $180.00 / $332.00	Facility		$113.00	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $156.28 / $233.88	Professional		$128.54	$156.28	$233.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $140.12 / $207.71	Professional		$93.06	$140.12	$207.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $555.00 / $3,479.91	Facility		$130.00	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $200.08 / $446.56	Professional		$116.40	$200.08	$446.56
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 $92.61 / $141.94 / $358.88	Professional		$92.61	$141.94	$358.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.36 / $148.36 / $414.89	Facility		$148.36	$148.36	$414.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $148.36 / $242.33	Professional		$93.06	$148.36	$242.33