Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.88 / $2,884.50 / $7,773.00	Facility		$228.88	$2,884.50	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $290.60 / $528.87	Professional		$177.86	$290.60	$528.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.11 / $269.07 / $670.37	Professional		$214.11	$269.07	$670.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $255.41 / $1,716.00 / $6,213.00	Facility		$255.41	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $255.41 / $255.41 / $447.34	Professional		$255.41	$255.41	$447.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.79 / $308.79 / $4,612.43	Facility		$308.79	$308.79	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $392.29 / $868.42	Professional		$195.38	$392.29	$868.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $275.39 / $489.53	Facility		$170.00	$275.39	$489.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.12 / $421.32 / $626.88	Professional		$326.12	$421.32	$626.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.80 / $285.80 / $639.45	Facility		$285.80	$285.80	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $372.86 / $578.69	Professional		$195.66	$372.86	$578.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $308.79 / $330.66 / $4,612.43	Facility		$308.79	$330.66	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $215.25 / $413.29 / $868.42	Professional		$215.25	$413.29	$868.42
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 $237.71 / $353.80 / $808.87	Professional		$237.71	$353.80	$808.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $219.26 / $219.26 / $639.45	Facility		$219.26	$219.26	$639.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $418.18 / $625.77	Professional		$195.66	$418.18	$625.77