Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $2,626.00 / $7,095.00	Facility		$139.19	$2,626.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $208.69 / $377.63	Professional		$96.55	$208.69	$377.63
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 $157.29 / $201.31 / $474.98	Professional		$157.29	$201.31	$474.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.11 / $1,254.00 / $4,050.00	Facility		$138.11	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $138.11 / $306.64	Professional		$138.11	$138.11	$306.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $166.80 / $5,246.94	Facility		$166.80	$166.80	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $263.60 / $668.55	Professional		$111.92	$263.60	$668.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $164.80 / $346.00	Facility		$102.61	$164.80	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.60 / $287.27 / $429.03	Professional		$221.60	$287.27	$429.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.71 / $197.71 / $482.13	Facility		$197.71	$197.71	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.33 / $251.95 / $391.03	Professional		$171.33	$251.95	$391.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $555.00 / $5,246.94	Facility		$166.80	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $282.73 / $644.60	Professional		$125.50	$282.73	$644.60
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 $173.71 / $245.49 / $538.14	Professional		$173.71	$245.49	$538.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $226.09	Facility		$116.51	$116.51	$226.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $179.90 / $251.95 / $400.08	Professional		$179.90	$251.95	$400.08