Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.75 / $2,671.00 / $7,307.00	Facility		$257.75	$2,671.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $360.22 / $680.34	Professional		$159.50	$360.22	$680.34
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 $283.18 / $353.97 / $903.63	Professional		$283.18	$353.97	$903.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.75 / $1,254.00 / $4,050.00	Facility		$225.75	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $225.75 / $225.75 / $615.35	Professional		$225.75	$225.75	$615.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.16 / $1,025.00 / $39,142.00	Facility		$269.16	$1,025.00	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.11 / $412.86 / $1,035.42	Professional		$170.11	$412.86	$1,035.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.65 / $266.47 / $600.80	Facility		$177.65	$266.47	$600.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.12 / $553.99 / $826.84	Professional		$427.12	$553.99	$826.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.03 / $381.03 / $482.13	Facility		$381.03	$381.03	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.75 / $500.11 / $776.17	Professional		$335.75	$500.11	$776.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.16 / $1,218.00 / $39,142.00	Facility		$269.16	$1,218.00	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $196.55 / $505.60 / $1,051.64	Professional		$196.55	$505.60	$1,051.64
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 $326.33 / $460.69 / $1,023.74	Professional		$326.33	$460.69	$1,023.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $189.74 / $189.74 / $680.28	Facility		$189.74	$189.74	$680.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $335.75 / $501.36 / $839.32	Professional		$335.75	$501.36	$839.32