Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.78 / $3,951.00 / $10,170.00	Facility		$178.78	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $134.35 / $280.98	Professional		$118.87	$134.35	$280.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $136.13 / $296.82	Professional		$104.13	$136.13	$296.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $184.07 / $1,716.00 / $6,213.00	Facility		$184.07	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $184.07 / $184.07 / $184.07	Professional		$184.07	$184.07	$184.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $170.37	Facility		$170.37	$170.37	$170.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $198.09 / $492.69	Professional		$130.68	$198.09	$492.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $240.00 / $593.54	Facility		$150.00	$240.00	$593.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $232.29 / $361.53	Professional		$164.28	$232.29	$361.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.27 / $138.27 / $138.27	Facility		$138.27	$138.27	$138.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $173.62 / $273.74	Professional		$105.52	$173.62	$273.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $555.00 / $37,776.00	Facility		$170.37	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $198.04 / $484.90	Professional		$135.69	$198.04	$484.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $171.34 / $410.54	Professional		$116.12	$171.34	$410.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $218.49 / $218.49 / $554.61	Facility		$218.49	$218.49	$554.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $207.41 / $328.03	Professional		$105.70	$207.41	$328.03