Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.91 / $3,016.00 / $9,923.87	Facility		$249.91	$3,016.00	$9,923.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.42 / $246.71 / $540.70	Professional		$173.42	$246.71	$540.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $223.67 / $551.29	Professional		$171.10	$223.67	$551.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $278.20 / $1,254.00 / $4,050.00	Facility		$278.20	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $278.20 / $338.36	Professional		$278.20	$278.20	$338.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.49 / $334.49 / $3,479.91	Facility		$334.49	$334.49	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $369.28 / $862.41	Professional		$212.18	$369.28	$862.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $227.05 / $510.86 / $1,176.00	Facility		$227.05	$510.86	$1,176.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $364.93 / $688.34	Professional		$280.08	$364.93	$688.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $290.19 / $448.82	Professional		$184.59	$290.19	$448.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $334.49 / $555.00 / $3,479.91	Facility		$334.49	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $230.67 / $396.97 / $1,058.08	Professional		$230.67	$396.97	$1,058.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.39 / $331.12 / $731.87	Professional		$234.39	$331.12	$731.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.27 / $223.27 / $698.74	Facility		$223.27	$223.27	$698.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $290.19 / $497.32	Professional		$184.59	$290.19	$497.32