Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.32 / $3,859.00 / $9,038.00	Facility		$236.32	$3,859.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $161.61 / $260.24	Professional		$76.05	$161.61	$260.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $247.57 / $567.99	Professional		$197.00	$247.57	$567.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $153.13 / $4,050.00	Facility		$153.13	$153.13	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $153.13 / $303.54	Professional		$153.13	$153.13	$303.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $146.22 / $3,479.91	Facility		$146.22	$146.22	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $181.19 / $332.00	Facility		$113.95	$181.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.12 / $263.19 / $393.88	Professional		$220.12	$263.19	$393.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $235.04 / $439.73	Professional		$178.17	$235.04	$439.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $555.00 / $3,479.91	Facility		$146.22	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $228.69 / $576.33	Professional		$173.49	$228.69	$576.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $297.45 / $665.85	Professional		$160.56	$297.45	$665.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $118.86 / $118.86 / $118.93	Facility		$118.86	$118.86	$118.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $250.74 / $439.73	Professional		$178.17	$250.74	$439.73