Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.37 / $3,659.00 / $9,038.00	Facility		$254.37	$3,659.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $232.21 / $516.07	Professional		$176.71	$232.21	$516.07
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 $152.12 / $196.04 / $477.25	Professional		$152.12	$196.04	$477.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $283.72 / $1,254.00 / $4,050.00	Facility		$283.72	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $283.72 / $283.72 / $283.72	Professional		$283.72	$283.72	$283.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.60 / $229.60 / $3,479.91	Facility		$229.60	$229.60	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.73 / $339.66 / $721.77	Professional		$195.73	$339.66	$721.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $300.00 / $528.08	Facility		$221.00	$300.00	$528.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $273.20 / $408.87	Professional		$234.70	$273.20	$408.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.35 / $197.27 / $371.55	Professional		$165.35	$197.27	$371.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.60 / $555.00 / $3,479.91	Facility		$229.60	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $354.35 / $723.61	Professional		$210.18	$354.35	$723.61
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 $188.81 / $268.31 / $520.07	Professional		$188.81	$268.31	$520.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $232.08 / $232.08 / $642.02	Facility		$232.08	$232.08	$642.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $167.16 / $244.94 / $428.94	Professional		$167.16	$244.94	$428.94