Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.24 / $3,414.00 / $10,024.00	Facility		$202.24	$3,414.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $222.77 / $381.22	Professional		$156.52	$222.77	$381.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $214.07 / $481.72	Professional		$175.45	$214.07	$481.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $228.36 / $228.36 / $8,917.50	Facility		$228.36	$228.36	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $228.36 / $228.36 / $326.24	Professional		$228.36	$228.36	$326.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $270.70 / $5,246.94	Facility		$270.70	$270.70	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.30 / $286.91 / $710.80	Professional		$157.30	$286.91	$710.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $197.87 / $419.36	Facility		$35.00	$197.87	$419.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $254.60 / $309.36 / $452.86	Professional		$254.60	$309.36	$452.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.69 / $208.69 / $1,192.63	Facility		$208.69	$208.69	$1,192.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $296.33 / $450.69	Professional		$182.61	$296.33	$450.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $597.00 / $16,269.00	Facility		$270.70	$597.00	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $307.37 / $692.37	Professional		$173.11	$307.37	$692.37
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 $174.42 / $255.88 / $576.29	Professional		$174.42	$255.88	$576.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $193.51 / $193.51 / $756.92	Facility		$193.51	$193.51	$756.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $193.51 / $301.18 / $473.71	Professional		$193.51	$301.18	$473.71