Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.42 / $2,842.00 / $7,521.00	Facility		$203.42	$2,842.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.54 / $217.58 / $358.34	Professional		$141.54	$217.58	$358.34
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 $144.43 / $188.80 / $445.09	Professional		$144.43	$188.80	$445.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $234.18 / $234.18 / $4,050.00	Facility		$234.18	$234.18	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $234.18 / $267.61	Professional		$234.18	$234.18	$267.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $7,227.90	Facility		$283.73	$283.73	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $315.02 / $691.17	Professional		$169.17	$315.02	$691.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.97 / $257.00 / $438.68	Facility		$194.97	$257.00	$438.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.14 / $257.01 / $384.63	Professional		$222.14	$257.01	$384.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $208.84 / $343.97	Professional		$144.12	$208.84	$343.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $555.00 / $7,227.90	Facility		$283.73	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $317.80 / $693.50	Professional		$177.40	$317.80	$693.50
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 $166.64 / $238.50 / $611.87	Professional		$166.64	$238.50	$611.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $214.99 / $214.99 / $581.91	Facility		$214.99	$214.99	$581.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $231.77 / $401.30	Professional		$144.12	$231.77	$401.30