Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.02 / $2,865.00 / $7,839.00	Facility		$87.02	$2,865.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $129.12 / $235.19	Professional		$61.37	$129.12	$235.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $132.96 / $344.96	Professional		$104.86	$132.96	$344.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.16 / $87.16 / $4,050.00	Facility		$87.16	$87.16	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $87.16 / $227.05	Professional		$87.16	$87.16	$227.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $14,648.00	Facility		$104.94	$104.94	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $143.22 / $377.71	Professional		$60.49	$143.22	$377.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $102.50 / $332.00	Facility		$65.00	$102.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $210.28 / $315.42	Professional		$155.12	$210.28	$315.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $198.32 / $322.64	Professional		$124.10	$198.32	$322.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $597.00	Facility		$104.94	$104.94	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $176.04 / $420.29	Professional		$63.00	$176.04	$420.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $181.43 / $482.85	Professional		$124.06	$181.43	$482.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $273.17	Facility		$72.73	$72.73	$273.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $192.20 / $322.64	Professional		$137.38	$192.20	$322.64