Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.47 / $2,952.00 / $7,307.00	Facility		$171.47	$2,952.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $212.33 / $410.70	Professional		$127.50	$212.33	$410.70
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 $179.87 / $227.74 / $477.22	Professional		$179.87	$227.74	$477.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $170.41 / $1,254.00 / $4,050.00	Facility		$170.41	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $170.41 / $288.82	Professional		$170.41	$170.41	$288.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.91 / $205.91 / $3,479.91	Facility		$205.91	$205.91	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $279.88 / $709.71	Professional		$136.44	$279.88	$709.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $148.62 / $332.00	Facility		$50.00	$148.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.24 / $272.58 / $407.94	Professional		$225.24	$272.58	$407.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $242.05 / $370.34	Professional		$159.94	$242.05	$370.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $205.91 / $555.00 / $3,479.91	Facility		$205.91	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.15 / $284.45 / $706.99	Professional		$147.15	$284.45	$706.99
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 $161.11 / $245.52 / $610.65	Professional		$161.11	$245.52	$610.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $161.77 / $161.77 / $412.30	Facility		$161.77	$161.77	$412.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $252.72 / $407.84	Professional		$159.94	$252.72	$407.84