Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.79 / $4,029.00 / $10,170.00	Facility		$363.79	$4,029.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.14 / $343.25 / $491.52	Professional		$272.14	$343.25	$491.52
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 $183.22 / $236.12 / $647.24	Professional		$183.22	$236.12	$647.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $374.54 / $1,716.00 / $6,213.00	Facility		$374.54	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $374.54 / $374.54 / $374.54	Professional		$374.54	$374.54	$374.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.91 / $300.91 / $4,612.43	Facility		$300.91	$300.91	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.75 / $460.56 / $1,038.33	Professional		$249.75	$460.56	$1,038.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $279.49 / $453.75 / $827.20	Facility		$279.49	$453.75	$827.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $360.51 / $539.53	Professional		$302.50	$360.51	$539.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.88 / $320.14 / $483.82	Professional		$215.88	$320.14	$483.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $300.91 / $555.00 / $4,612.43	Facility		$300.91	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $278.30 / $455.39 / $958.36	Professional		$278.30	$455.39	$958.36
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 $214.26 / $332.71 / $692.81	Professional		$214.26	$332.71	$692.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $353.02 / $353.02 / $929.29	Facility		$353.02	$353.02	$929.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $224.43 / $353.02 / $560.02	Professional		$224.43	$353.02	$560.02