Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.02 / $3,100.00 / $8,020.00	Facility		$242.02	$3,100.00	$8,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $264.10 / $404.73	Professional		$180.77	$264.10	$404.73
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 $161.35 / $210.92 / $537.60	Professional		$161.35	$210.92	$537.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $265.83 / $1,716.00 / $6,213.00	Facility		$265.83	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $265.83 / $324.08	Professional		$265.83	$265.83	$324.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.32 / $323.32 / $4,612.43	Facility		$323.32	$323.32	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $361.11 / $818.10	Professional		$196.50	$361.11	$818.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $219.61 / $332.00 / $605.50	Facility		$219.61	$332.00	$605.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $311.61 / $466.33	Professional		$266.58	$311.61	$466.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $253.29 / $417.19	Professional		$179.28	$253.29	$417.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $323.32 / $555.00 / $4,612.43	Facility		$323.32	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $362.21 / $813.96	Professional		$210.00	$362.21	$813.96
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 $200.67 / $283.12 / $695.70	Professional		$200.67	$283.12	$695.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $244.68 / $244.68 / $643.70	Facility		$244.68	$244.68	$643.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $281.00 / $481.64	Professional		$179.28	$281.00	$481.64