Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.92 / $2,544.51 / $7,227.91	Facility		$183.92	$2,544.51	$7,227.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $240.52 / $519.46	Professional		$146.18	$240.52	$519.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $198.54 / $511.97	Professional		$151.88	$198.54	$511.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $187.52 / $1,254.00 / $4,050.00	Facility		$187.52	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $187.52 / $310.22	Professional		$187.52	$187.52	$310.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $3,479.91	Facility		$228.90	$228.90	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $290.73 / $711.97	Professional		$142.58	$290.73	$711.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $228.00 / $348.37	Facility		$150.00	$228.00	$348.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.68 / $299.60 / $448.37	Professional		$247.68	$299.60	$448.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $251.88 / $406.12	Professional		$163.01	$251.88	$406.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $555.00 / $3,479.91	Facility		$228.90	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $304.05 / $711.97	Professional		$168.72	$304.05	$711.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.93 / $261.52 / $595.04	Professional		$169.93	$261.52	$595.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $178.21 / $178.21 / $445.05	Facility		$178.21	$178.21	$445.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $251.88 / $423.47	Professional		$178.21	$251.88	$423.47