Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.89 / $2,561.00 / $8,442.00	Facility		$207.89	$2,561.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $253.59 / $523.98	Professional		$153.43	$253.59	$523.98
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 $180.31 / $229.00 / $624.09	Professional		$180.31	$229.00	$624.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $221.60 / $1,716.00 / $6,213.00	Facility		$221.60	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $221.60 / $221.60 / $432.15	Professional		$221.60	$221.60	$432.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $272.91 / $4,612.43	Facility		$272.91	$272.91	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.27 / $344.55 / $770.72	Professional		$165.27	$344.55	$770.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $248.82 / $430.65	Facility		$75.00	$248.82	$430.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $414.29 / $615.26	Professional		$319.68	$414.29	$615.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.52 / $283.52 / $639.45	Facility		$283.52	$283.52	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $371.83 / $577.08	Professional		$201.06	$371.83	$577.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $555.00 / $4,612.43	Facility		$272.91	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $175.63 / $368.99 / $771.04	Professional		$175.63	$368.99	$771.04
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 $232.13 / $334.37 / $784.08	Professional		$232.13	$334.37	$784.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $196.90 / $196.90 / $639.45	Facility		$196.90	$196.90	$639.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $416.22 / $624.04	Professional		$201.06	$416.22	$624.04