Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.31 / $5,411.00 / $11,396.00	Facility		$175.31	$5,411.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.43 / $161.63 / $355.76	Professional		$125.43	$161.63	$355.76
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 $101.67 / $131.02 / $340.01	Professional		$101.67	$131.02	$340.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $184.53 / $2,644.00 / $12,319.50	Facility		$184.53	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $184.53 / $184.53	Professional		$184.53	$184.53	$184.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.24 / $152.24 / $7,289.38	Facility		$152.24	$152.24	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $262.11 / $497.55	Professional		$161.97	$262.11	$497.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.76 / $241.61 / $380.60	Facility		$158.76	$241.61	$380.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $177.07 / $278.64	Professional		$156.97	$177.07	$278.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $582.08 / $715.35	Professional		$119.43	$582.08	$715.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $152.24 / $555.00 / $7,289.38	Facility		$152.24	$555.00	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $245.18 / $497.55	Professional		$161.94	$245.18	$497.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.46 / $182.18 / $404.21	Professional		$129.46	$182.18	$404.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $142.84 / $142.84 / $473.01	Facility		$142.84	$142.84	$473.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $410.74 / $715.35	Professional		$123.05	$410.74	$715.35