Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $2,626.00 / $7,563.00	Facility		$76.20	$2,626.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $78.44 / $151.71	Professional		$57.03	$78.44	$151.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $78.68 / $180.25	Professional		$63.87	$78.68	$180.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $80.83 / $4,050.00	Facility		$80.83	$80.83	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $80.83 / $109.47	Professional		$80.83	$80.83	$109.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.37 / $100.37 / $3,479.91	Facility		$100.37	$100.37	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $112.96 / $280.26	Professional		$57.79	$112.96	$280.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $92.38 / $332.00	Facility		$45.00	$92.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $102.72 / $150.82	Professional		$78.06	$102.72	$150.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $69.50 / $69.50	Facility		$69.50	$69.50	$69.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $89.49 / $138.88	Professional		$64.91	$89.49	$138.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.37 / $117.18 / $3,479.91	Facility		$100.37	$117.18	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $112.42 / $264.42	Professional		$63.00	$112.42	$264.42
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 $61.65 / $86.51 / $202.32	Professional		$61.65	$86.51	$202.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $70.93 / $237.27	Facility		$70.93	$70.93	$237.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $93.33 / $157.86	Professional		$67.59	$93.33	$157.86