Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.85 / $2,465.00 / $7,307.00	Facility		$191.85	$2,465.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $219.78 / $527.89	Professional		$129.50	$219.78	$527.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $217.77 / $547.20	Professional		$167.56	$217.77	$547.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.60 / $251.60 / $251.60	Facility		$251.60	$251.60	$251.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $362.84	Professional		$251.60	$251.60	$362.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.18 / $305.18 / $14,648.00	Facility		$305.18	$305.18	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.23 / $347.42 / $728.82	Professional		$196.23	$347.42	$728.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $272.80 / $480.98	Facility		$202.00	$272.80	$480.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $247.76 / $491.59	Professional		$150.00	$247.76	$491.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $278.77 / $490.17	Professional		$156.29	$278.77	$490.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $305.18 / $555.00 / $7,227.90	Facility		$305.18	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $345.55 / $756.36	Professional		$201.25	$345.55	$756.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $288.26 / $635.34	Professional		$172.07	$288.26	$635.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $192.09 / $192.09 / $392.43	Facility		$192.09	$192.09	$392.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.61 / $285.32 / $527.33	Professional		$181.61	$285.32	$527.33