Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.86 / $2,611.00 / $7,095.00	Facility		$116.86	$2,611.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $179.88 / $320.67	Professional		$80.92	$179.88	$320.67
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 $142.63 / $178.29 / $426.24	Professional		$142.63	$178.29	$426.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.67 / $1,254.00 / $4,050.00	Facility		$115.67	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $115.67 / $278.95	Professional		$115.67	$115.67	$278.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $139.51 / $5,246.94	Facility		$139.51	$139.51	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $235.40 / $609.89	Professional		$93.51	$235.40	$609.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.91 / $139.19 / $332.00	Facility		$85.91	$139.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.36 / $259.56 / $386.28	Professional		$200.36	$259.56	$386.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.01 / $178.01 / $482.13	Facility		$178.01	$178.01	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $226.93 / $352.19	Professional		$154.31	$226.93	$352.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $555.00 / $5,246.94	Facility		$139.51	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $255.62 / $587.80	Professional		$106.75	$255.62	$587.80
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 $163.35 / $223.81 / $519.42	Professional		$163.35	$223.81	$519.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.41 / $97.41 / $189.88	Facility		$97.41	$97.41	$189.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $226.93 / $360.33	Professional		$161.03	$226.93	$360.33