Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.75 / $1,837.00 / $7,343.00	Facility		$135.75	$1,837.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $154.99 / $303.31	Professional		$105.69	$154.99	$303.31
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 $129.87 / $156.26 / $329.64	Professional		$129.87	$156.26	$329.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.83 / $151.83 / $4,050.00	Facility		$151.83	$151.83	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $151.83 / $209.60	Professional		$151.83	$151.83	$209.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.16 / $185.16 / $3,479.91	Facility		$185.16	$185.16	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $210.02 / $501.92	Professional		$111.98	$210.02	$501.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $171.52 / $332.00	Facility		$55.00	$171.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $199.36 / $293.54	Professional		$150.63	$199.36	$293.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $135.27 / $135.27	Facility		$135.27	$135.27	$135.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $175.40 / $272.22	Professional		$121.35	$175.40	$272.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $185.16 / $245.58 / $3,479.91	Facility		$185.16	$245.58	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $210.19 / $490.21	Professional		$114.13	$210.19	$490.21
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 $119.54 / $172.58 / $372.79	Professional		$119.54	$172.58	$372.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.75 / $132.75 / $431.73	Facility		$132.75	$132.75	$431.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $196.72 / $309.41	Professional		$121.35	$196.72	$309.41