Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.69 / $3,100.00 / $7,773.00	Facility		$266.69	$3,100.00	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.88 / $338.88 / $646.22	Professional		$221.88	$338.88	$646.22
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 $260.10 / $329.80 / $722.09	Professional		$260.10	$329.80	$722.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $1,716.00 / $6,213.00	Facility		$274.83	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $489.68	Professional		$274.83	$274.83	$489.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.81 / $333.81 / $4,612.43	Facility		$333.81	$333.81	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $438.81 / $1,103.98	Professional		$225.00	$438.81	$1,103.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $294.00 / $503.17	Facility		$216.00	$294.00	$503.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $359.89 / $446.85 / $668.73	Professional		$359.89	$446.85	$668.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.69 / $400.62 / $632.63	Professional		$234.69	$400.62	$632.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $333.81 / $597.00 / $8,498.00	Facility		$333.81	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $244.25 / $450.02 / $1,092.42	Professional		$244.25	$450.02	$1,092.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.60 / $400.38 / $982.09	Professional		$277.60	$400.38	$982.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.02 / $251.02 / $680.79	Facility		$251.02	$251.02	$680.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.69 / $451.88 / $702.20	Professional		$234.69	$451.88	$702.20