Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.88 / $3,213.00 / $7,563.00	Facility		$238.88	$3,213.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.58 / $170.42 / $290.57	Professional		$131.58	$170.42	$290.57
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 $110.39 / $137.09 / $355.22	Professional		$110.39	$137.09	$355.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.34 / $1,254.00 / $4,050.00	Facility		$190.34	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $190.34 / $190.34	Professional		$190.34	$190.34	$190.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $1,025.00 / $39,142.00	Facility		$151.61	$1,025.00	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $267.06 / $602.65	Professional		$119.79	$267.06	$602.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.86 / $280.80 / $508.60	Facility		$162.86	$280.80	$508.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $182.76 / $278.70	Professional		$137.07	$182.76	$278.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.28 / $125.28 / $482.13	Facility		$125.28	$125.28	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $183.80 / $248.41	Professional		$116.12	$183.80	$248.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $1,218.00 / $39,142.00	Facility		$151.61	$1,218.00	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $237.70 / $541.59	Professional		$142.18	$237.70	$541.59
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 $117.01 / $169.13 / $396.43	Professional		$117.01	$169.13	$396.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $160.06 / $160.06 / $874.45	Facility		$160.06	$160.06	$874.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $183.80 / $340.28	Professional		$136.05	$183.80	$340.28