Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.76 / $3,347.00 / $7,839.00	Facility		$203.76	$3,347.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $180.55 / $288.23	Professional		$130.91	$180.55	$288.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $143.96 / $364.91	Professional		$111.71	$143.96	$364.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $209.34 / $1,254.00 / $4,050.00	Facility		$209.34	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $209.34 / $209.34 / $209.34	Professional		$209.34	$209.34	$209.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.46 / $168.46 / $3,479.91	Facility		$168.46	$168.46	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $276.67 / $584.15	Professional		$144.15	$276.67	$584.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $157.59 / $250.00 / $383.74	Facility		$157.59	$250.00	$383.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $202.58 / $303.17	Professional		$170.55	$202.58	$303.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $181.62 / $270.39	Professional		$118.02	$181.62	$270.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $168.46 / $555.00 / $3,479.91	Facility		$168.46	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $262.83 / $585.91	Professional		$156.59	$262.83	$585.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.99 / $185.03 / $464.24	Professional		$130.99	$185.03	$464.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $193.14 / $512.94	Facility		$193.14	$193.14	$512.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $193.14 / $315.47	Professional		$118.02	$193.14	$315.47