Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.76 / $2,660.00 / $7,563.00	Facility		$238.76	$2,660.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.62 / $256.93 / $468.30	Professional		$184.62	$256.93	$468.30
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 $190.46 / $234.03 / $550.11	Professional		$190.46	$234.03	$550.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $259.63 / $1,254.00 / $4,050.00	Facility		$259.63	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $259.63 / $259.63 / $362.28	Professional		$259.63	$259.63	$362.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $317.00 / $3,479.91	Facility		$317.00	$317.00	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $332.93 / $772.68	Professional		$184.79	$332.93	$772.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $250.00 / $492.41	Facility		$125.00	$250.00	$492.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.04 / $343.82 / $510.93	Professional		$264.04	$343.82	$510.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.45 / $235.45 / $482.13	Facility		$235.45	$235.45	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.34 / $270.77 / $475.10	Professional		$196.34	$270.77	$475.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $597.00 / $16,269.00	Facility		$317.00	$597.00	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.42 / $349.38 / $754.34	Professional		$199.42	$349.38	$754.34
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 $207.45 / $292.79 / $648.10	Professional		$207.45	$292.79	$648.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $225.96 / $225.96 / $711.95	Facility		$225.96	$225.96	$711.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $196.34 / $343.33 / $540.01	Professional		$196.34	$343.33	$540.01