Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $3,020.00 / $7,735.00	Facility		$206.70	$3,020.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $194.33 / $364.54	Professional		$123.74	$194.33	$364.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.00 / $3,280.00 / $4,707.00	Facility		$1,655.00	$3,280.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.90 / $163.52 / $297.47	Professional		$135.90	$163.52	$297.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $242.93 / $242.93 / $242.93	Facility		$242.93	$242.93	$242.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $242.93 / $242.93 / $242.93	Professional		$242.93	$242.93	$242.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $193.75 / $193.75	Facility		$193.75	$193.75	$193.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $219.88 / $546.19	Professional		$126.00	$219.88	$546.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $172.94 / $259.61 / $413.33	Facility		$172.94	$259.61	$413.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $224.11 / $336.17	Professional		$165.33	$224.11	$336.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.34 / $157.34 / $157.34	Facility		$157.34	$157.34	$157.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $232.86 / $361.18	Professional		$101.48	$232.86	$361.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $193.75 / $74,999.25	Facility		$193.75	$193.75	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $226.13 / $469.63	Professional		$143.47	$226.13	$469.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $2,472.00 / $4,583.00	Facility		$1,101.00	$2,472.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $193.59 / $456.97	Professional		$133.96	$193.59	$456.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $216.93 / $216.93 / $435.22	Facility		$216.93	$216.93	$435.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $244.97 / $461.89	Professional		$136.19	$244.97	$461.89