Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.13 / $3,316.00 / $7,773.00	Facility		$169.13	$3,316.00	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.81 / $170.40 / $368.15	Professional		$127.81	$170.40	$368.15
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 $125.71 / $164.33 / $362.59	Professional		$125.71	$164.33	$362.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $202.28 / $1,716.00 / $6,213.00	Facility		$202.28	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $202.28 / $202.28 / $242.87	Professional		$202.28	$202.28	$242.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.04 / $244.04 / $4,612.43	Facility		$244.04	$244.04	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $246.71 / $540.65	Professional		$144.19	$246.71	$540.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $180.00 / $383.42	Facility		$100.00	$180.00	$383.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $236.77 / $354.34	Professional		$204.18	$236.77	$354.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $172.90 / $325.64	Professional		$124.86	$172.90	$325.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $244.04 / $555.00 / $4,612.43	Facility		$244.04	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $150.49 / $260.73 / $543.69	Professional		$150.49	$260.73	$543.69
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 $158.44 / $225.46 / $415.06	Professional		$158.44	$225.46	$415.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $168.73 / $168.73 / $422.09	Facility		$168.73	$168.73	$422.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $212.28 / $375.85	Professional		$124.86	$212.28	$375.85