Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.66 / $2,626.00 / $7,185.00	Facility		$174.66	$2,626.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.65 / $213.82 / $443.37	Professional		$128.65	$213.82	$443.37
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 $178.27 / $245.24 / $497.60	Professional		$178.27	$245.24	$497.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $182.81 / $182.81 / $4,050.00	Facility		$182.81	$182.81	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $182.81 / $182.81 / $327.48	Professional		$182.81	$182.81	$327.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $216.48 / $3,479.91	Facility		$216.48	$216.48	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $287.61 / $681.45	Professional		$140.01	$287.61	$681.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $200.36 / $346.00	Facility		$125.00	$200.36	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $306.10 / $456.00	Professional		$236.12	$306.10	$456.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.14 / $210.14 / $210.14	Facility		$210.14	$210.14	$210.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.98 / $241.66 / $426.76	Professional		$186.98	$241.66	$426.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $434.29 / $3,479.91	Facility		$216.48	$434.29	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $300.58 / $676.65	Professional		$151.04	$300.58	$676.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.08 / $260.04 / $617.25	Professional		$179.08	$260.04	$617.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $156.51 / $156.51 / $506.33	Facility		$156.51	$156.51	$506.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.14 / $308.39 / $461.48	Professional		$210.14	$308.39	$461.48