Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.88 / $2,626.00 / $7,307.00	Facility		$227.88	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $256.80 / $440.62	Professional		$174.26	$256.80	$440.62
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 $181.07 / $224.86 / $564.44	Professional		$181.07	$224.86	$564.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $248.89 / $1,254.00 / $4,050.00	Facility		$248.89	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $248.89 / $248.89 / $370.64	Professional		$248.89	$248.89	$370.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $302.79 / $3,479.91	Facility		$302.79	$302.79	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $340.24 / $792.82	Professional		$186.26	$340.24	$792.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $202.56 / $278.52 / $470.52	Facility		$202.56	$278.52	$470.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $349.81 / $522.16	Professional		$269.95	$349.81	$522.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.63 / $240.63 / $482.13	Facility		$240.63	$240.63	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $313.49 / $486.53	Professional		$202.33	$313.49	$486.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $555.00 / $3,479.91	Facility		$302.79	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $202.38 / $355.79 / $792.82	Professional		$202.38	$355.79	$792.82
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 $211.05 / $299.94 / $716.70	Professional		$211.05	$299.94	$716.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $216.35 / $216.35 / $721.24	Facility		$216.35	$216.35	$721.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $351.59 / $553.00	Professional		$202.33	$351.59	$553.00