Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.26 / $3,016.00 / $7,307.00	Facility		$185.26	$3,016.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $190.59 / $355.74	Professional		$159.37	$190.59	$355.74
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 $132.57 / $173.30 / $437.07	Professional		$132.57	$173.30	$437.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $215.91 / $1,254.00 / $4,050.00	Facility		$215.91	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $215.91 / $215.91 / $253.63	Professional		$215.91	$215.91	$253.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $266.47 / $3,479.91	Facility		$266.47	$266.47	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $284.17 / $644.89	Professional		$132.19	$284.17	$644.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $194.56 / $418.88	Facility		$90.00	$194.56	$418.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $217.61 / $253.07 / $378.73	Professional		$217.61	$253.07	$378.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $174.53 / $346.78	Professional		$141.86	$174.53	$346.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $555.00 / $3,479.91	Facility		$266.47	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $284.67 / $634.38	Professional		$144.41	$284.67	$634.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $224.77 / $486.15	Professional		$154.76	$224.77	$486.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $170.73 / $170.73 / $462.90	Facility		$170.73	$170.73	$462.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $219.68 / $396.19	Professional		$141.86	$219.68	$396.19