Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.85 / $4,442.00 / $10,024.00	Facility		$328.85	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.12 / $299.16 / $496.05	Professional		$222.12	$299.16	$496.05
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 $193.01 / $252.31 / $617.94	Professional		$193.01	$252.31	$617.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $359.98 / $359.98 / $8,917.50	Facility		$359.98	$359.98	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $359.98 / $359.98 / $359.98	Professional		$359.98	$359.98	$359.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.02 / $289.02 / $7,227.90	Facility		$289.02	$289.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.99 / $450.00 / $918.35	Professional		$250.99	$450.00	$918.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $268.39 / $440.28 / $891.20	Facility		$268.39	$440.28	$891.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $341.98 / $511.79	Professional		$293.52	$341.98	$511.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $308.00 / $466.31	Professional		$207.52	$308.00	$466.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $289.02 / $555.00 / $7,227.90	Facility		$289.02	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $264.30 / $462.74 / $954.85	Professional		$264.30	$462.74	$954.85
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 $250.67 / $346.84 / $657.87	Professional		$250.67	$346.84	$657.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $291.27 / $903.31	Facility		$291.27	$291.27	$903.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $222.17 / $308.00 / $538.34	Professional		$222.17	$308.00	$538.34