Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.25 / $2,626.00 / $7,839.00	Facility		$143.25	$2,626.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $171.43 / $314.89	Professional		$108.39	$171.43	$314.89
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 $133.72 / $166.67 / $378.67	Professional		$133.72	$166.67	$378.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $155.32 / $155.32 / $4,050.00	Facility		$155.32	$155.32	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $155.32 / $155.32 / $256.54	Professional		$155.32	$155.32	$256.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.19 / $183.19 / $304.16	Facility		$183.19	$183.19	$304.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.35 / $220.85 / $516.77	Professional		$114.35	$220.85	$516.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $143.07 / $332.00	Facility		$35.00	$143.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.57 / $242.02 / $354.97	Professional		$199.57	$242.02	$354.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.58 / $163.58 / $163.58	Facility		$163.58	$163.58	$163.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $236.37 / $354.47	Professional		$143.62	$236.37	$354.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $183.19 / $183.19 / $23,612.00	Facility		$183.19	$183.19	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $238.35 / $504.20	Professional		$130.11	$238.35	$504.20
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 $142.29 / $202.90 / $511.99	Professional		$142.29	$202.90	$511.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $130.66 / $443.04	Facility		$130.66	$130.66	$443.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $258.45 / $354.47	Professional		$148.08	$258.45	$354.47