Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.45 / $3,000.00 / $7,307.00	Facility		$199.45	$3,000.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.93 / $213.39 / $467.62	Professional		$145.93	$213.39	$467.62
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 $199.62 / $248.99 / $549.21	Professional		$199.62	$248.99	$549.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $222.30 / $222.30 / $4,050.00	Facility		$222.30	$222.30	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $222.30 / $311.58	Professional		$222.30	$222.30	$311.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.27 / $272.27 / $7,227.90	Facility		$272.27	$272.27	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $336.80 / $763.97	Professional		$158.88	$336.80	$763.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $212.32 / $423.79	Facility		$130.00	$212.32	$423.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $294.25 / $440.36	Professional		$253.18	$294.25	$440.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $234.18 / $402.48	Professional		$157.50	$234.18	$402.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $272.27 / $555.00 / $7,227.90	Facility		$272.27	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $339.70 / $763.97	Professional		$167.34	$339.70	$763.97
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 $131.88 / $266.88 / $605.47	Professional		$131.88	$266.88	$605.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.10 / $173.10 / $528.00	Facility		$173.10	$173.10	$528.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $254.01 / $464.65	Professional		$157.50	$254.01	$464.65