Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $2,974.00 / $7,521.00	Facility		$227.41	$2,974.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $223.63 / $482.12	Professional		$162.16	$223.63	$482.12
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 $219.13 / $263.66 / $514.25	Professional		$219.13	$263.66	$514.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $261.35 / $1,254.00 / $4,050.00	Facility		$261.35	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $261.35 / $261.35 / $339.66	Professional		$261.35	$261.35	$339.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.24 / $313.24 / $3,479.91	Facility		$313.24	$313.24	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $340.28 / $756.50	Professional		$191.74	$340.28	$756.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $281.14 / $486.59	Facility		$190.00	$281.14	$486.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $329.93 / $493.76	Professional		$284.58	$329.93	$493.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.39 / $283.20 / $453.41	Professional		$175.39	$283.20	$453.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $313.24 / $555.00 / $3,479.91	Facility		$313.24	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $361.79 / $783.19	Professional		$218.24	$361.79	$783.19
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 $219.39 / $311.79 / $630.54	Professional		$219.39	$311.79	$630.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.86 / $213.86 / $587.29	Facility		$213.86	$213.86	$587.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $175.39 / $294.94 / $500.12	Professional		$175.39	$294.94	$500.12