Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.81 / $4,072.50 / $11,220.00	Facility		$302.81	$4,072.50	$11,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $280.38 / $546.29	Professional		$226.28	$280.38	$546.29
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 $192.73 / $239.34 / $561.41	Professional		$192.73	$239.34	$561.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $340.32 / $2,390.00 / $10,957.50	Facility		$340.32	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $340.32 / $340.32	Professional		$340.32	$340.32	$340.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.11 / $280.11 / $6,511.02	Facility		$280.11	$280.11	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.21 / $411.76 / $860.70	Professional		$190.21	$411.76	$860.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $267.00 / $332.00 / $650.97	Facility		$267.00	$332.00	$650.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $338.69 / $505.81	Professional		$260.39	$338.69	$505.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.09 / $233.09 / $1,040.38	Facility		$233.09	$233.09	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $290.45 / $454.80	Professional		$202.40	$290.45	$454.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $280.11 / $555.00 / $6,511.02	Facility		$280.11	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $367.06 / $829.05	Professional		$249.84	$367.06	$829.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,311.00 / $10,065.00	Facility		$1,693.00	$4,311.00	$10,065.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.65 / $274.85 / $631.38	Professional		$205.65	$274.85	$631.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $297.64 / $297.64 / $1,040.38	Facility		$297.64	$297.64	$1,040.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $327.49 / $629.16	Professional		$229.13	$327.49	$629.16