Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,287.00 / $9,969.75	Facility		$1,508.00	$4,287.00	$9,969.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $147.80 / $250.00	Professional		$126.63	$147.80	$250.00
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 $110.54 / $138.72 / $278.45	Professional		$110.54	$138.72	$278.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $209.20 / $209.20 / $3,762.00	Facility		$209.20	$209.20	$3,762.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $209.20 / $209.20 / $209.20	Professional		$209.20	$209.20	$209.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.46 / $165.46 / $3,479.91	Facility		$165.46	$165.46	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $260.88 / $534.63	Professional		$150.22	$260.88	$534.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $536.00 / $927.28	Facility		$319.00	$536.00	$927.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $325.24 / $471.60 / $803.34	Professional		$325.24	$471.60	$803.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $188.43 / $293.33	Professional		$117.74	$188.43	$293.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $165.46 / $555.00 / $3,479.91	Facility		$165.46	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $345.00 / $1,500.00	Professional		$154.94	$345.00	$1,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $3,146.00 / $5,253.00	Facility		$1,694.00	$3,146.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $202.40 / $405.92	Professional		$135.47	$202.40	$405.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $166.81 / $166.81 / $551.60	Facility		$166.81	$166.81	$551.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $201.62 / $308.31	Professional		$118.85	$201.62	$308.31