Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.36 / $3,100.00 / $8,134.00	Facility		$149.36	$3,100.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $169.21 / $280.56	Professional		$123.11	$169.21	$280.56
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 $120.98 / $158.15 / $370.68	Professional		$120.98	$158.15	$370.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.91 / $1,716.00 / $6,213.00	Facility		$154.91	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $154.91 / $229.39	Professional		$154.91	$154.91	$229.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.02 / $189.02 / $4,612.43	Facility		$189.02	$189.02	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $246.26 / $564.23	Professional		$122.43	$246.26	$564.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $136.86 / $332.00	Facility		$50.00	$136.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $221.20 / $331.03	Professional		$189.02	$221.20	$331.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.85 / $196.43 / $299.81	Professional		$132.85	$196.43	$299.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $189.02 / $555.00 / $4,612.43	Facility		$189.02	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $249.32 / $551.76	Professional		$134.60	$249.32	$551.76
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 $128.28 / $189.02 / $437.00	Professional		$128.28	$189.02	$437.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.94 / $148.94 / $355.09	Facility		$148.94	$148.94	$355.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $218.76 / $330.16	Professional		$136.85	$218.76	$330.16