Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.32 / $3,731.00 / $9,267.00	Facility		$170.32	$3,731.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $161.08 / $299.01	Professional		$134.27	$161.08	$299.01
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 $100.88 / $131.87 / $312.20	Professional		$100.88	$131.87	$312.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $175.92 / $1,254.00 / $4,050.00	Facility		$175.92	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $175.92 / $175.92 / $175.92	Professional		$175.92	$175.92	$175.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $142.54 / $3,479.91	Facility		$142.54	$142.54	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $233.94 / $491.84	Professional		$126.78	$233.94	$491.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $152.09 / $332.00	Facility		$35.00	$152.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.82 / $169.64 / $253.87	Professional		$141.82	$169.64	$253.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $141.41 / $228.01	Professional		$102.08	$141.41	$228.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $555.00 / $3,479.91	Facility		$142.54	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $229.69 / $497.41	Professional		$132.91	$229.69	$497.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $157.54 / $376.50	Professional		$103.07	$157.54	$376.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $166.37 / $427.13	Facility		$166.37	$166.37	$427.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $155.59 / $263.92	Professional		$107.90	$155.59	$263.92