Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $3,347.00 / $7,839.00	Facility		$1,321.00	$3,347.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $129.33 / $160.74	Professional		$111.71	$129.33	$160.74
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 $96.58 / $114.45 / $189.38	Professional		$96.58	$114.45	$189.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $4,050.00	Facility		$1,350.00	$1,350.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $138.16 / $7,227.90	Facility		$138.16	$138.16	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $206.87 / $495.00	Professional		$99.82	$206.87	$495.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $281.64 / $591.44	Facility		$135.00	$281.64	$591.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.64 / $366.13 / $611.16	Professional		$281.64	$366.13	$611.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $145.97 / $226.55	Professional		$90.77	$145.97	$226.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $555.00 / $7,227.90	Facility		$138.16	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $200.00 / $468.01	Professional		$113.53	$200.00	$468.01
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 $102.61 / $143.97 / $339.27	Professional		$102.61	$143.97	$339.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $145.97 / $332.72	Facility		$145.97	$145.97	$332.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $163.72 / $308.57	Professional		$90.77	$163.72	$308.57