Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.41 / $3,316.00 / $7,839.00	Facility		$186.41	$3,316.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $202.62 / $407.10	Professional		$118.66	$202.62	$407.10
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 $164.88 / $215.53 / $525.09	Professional		$164.88	$215.53	$525.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $6,213.00	Facility		$180.13	$180.13	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $180.13 / $299.02	Professional		$180.13	$180.13	$299.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $213.62 / $7,227.90	Facility		$213.62	$213.62	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $290.79 / $689.21	Professional		$138.10	$290.79	$689.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $169.15 / $338.51	Facility		$75.00	$169.15	$338.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.89 / $278.91 / $417.40	Professional		$240.89	$278.91	$417.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $224.81 / $386.38	Professional		$158.59	$224.81	$386.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $555.00 / $7,227.90	Facility		$213.62	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $296.29 / $707.63	Professional		$153.99	$296.29	$707.63
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 $124.31 / $252.76 / $628.84	Professional		$124.31	$252.76	$628.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $139.50 / $416.11	Facility		$139.50	$139.50	$416.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $240.77 / $424.38	Professional		$158.59	$240.77	$424.38