Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $3,797.00 / $9,267.00	Facility		$1,508.00	$3,797.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $333.64 / $432.06	Professional		$51.71	$333.64	$432.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $188.62 / $377.36	Professional		$151.88	$188.62	$377.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,071.00 / $2,071.00 / $6,213.00	Facility		$2,071.00	$2,071.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $4,612.43	Facility		$60.26	$60.26	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $216.71 / $216.71	Professional		$43.82	$216.71	$216.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $42.74	Facility		$42.74	$42.74	$42.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $67.53 / $282.25	Professional		$50.96	$67.53	$282.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $555.00 / $4,612.43	Facility		$60.26	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $216.71 / $216.71	Professional		$43.82	$216.71	$216.71
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $384.35 / $946.37	Professional		$54.77	$384.35	$946.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $50.96 / $337.75	Facility		$50.96	$50.96	$337.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $61.74 / $125.11	Professional		$50.96	$61.74	$125.11