Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.45 / $3,205.00 / $8,010.66	Facility		$179.45	$3,205.00	$8,010.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $182.75 / $368.87	Professional		$128.37	$182.75	$368.87
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 $179.97 / $224.97 / $399.37	Professional		$179.97	$224.97	$399.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $1,716.00 / $6,213.00	Facility		$204.63	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.63 / $204.63 / $278.64	Professional		$204.63	$204.63	$278.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.21 / $246.21 / $4,612.43	Facility		$246.21	$246.21	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $267.06 / $603.20	Professional		$150.41	$267.06	$603.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $303.00 / $524.19	Facility		$160.00	$303.00	$524.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $273.27 / $408.96	Professional		$236.24	$273.27	$408.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $235.90 / $377.67	Professional		$142.86	$235.90	$377.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $246.21 / $555.00 / $4,612.43	Facility		$246.21	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $282.14 / $650.00	Professional		$168.62	$282.14	$650.00
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 $177.49 / $258.83 / $500.69	Professional		$177.49	$258.83	$500.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $168.81 / $168.81 / $450.74	Facility		$168.81	$168.81	$450.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $168.07 / $244.29 / $414.81	Professional		$168.07	$244.29	$414.81