Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.93 / $2,884.50 / $7,773.00	Facility		$141.93	$2,884.50	$7,773.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $157.59 / $285.69	Professional		$105.68	$157.59	$285.69
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 $111.92 / $138.99 / $355.16	Professional		$111.92	$138.99	$355.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $1,716.00 / $6,213.00	Facility		$148.21	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $148.21 / $226.99	Professional		$148.21	$148.21	$226.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.04 / $183.04 / $4,612.43	Facility		$183.04	$183.04	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $218.09 / $517.62	Professional		$111.26	$218.09	$517.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $143.86 / $332.00	Facility		$35.00	$143.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $215.20 / $320.92	Professional		$166.03	$215.20	$320.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $147.88 / $639.45	Facility		$147.88	$147.88	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $190.57 / $299.39	Professional		$130.79	$190.57	$299.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $183.04 / $330.66 / $4,612.43	Facility		$183.04	$330.66	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $221.01 / $511.60	Professional		$117.39	$221.01	$511.60
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 $131.13 / $181.82 / $404.28	Professional		$131.13	$181.82	$404.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $481.74	Facility		$131.69	$131.69	$481.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $216.36 / $340.30	Professional		$130.79	$216.36	$340.30