Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.18 / $2,626.00 / $7,307.00	Facility		$119.18	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $294.77 / $495.08	Professional		$83.08	$294.77	$495.08
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 $205.92 / $364.84 / $770.22	Professional		$205.92	$364.84	$770.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $118.57 / $1,254.00 / $4,050.00	Facility		$118.57	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $118.57 / $510.55	Professional		$118.57	$118.57	$510.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $148.19 / $3,479.91	Facility		$148.19	$148.19	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $292.20 / $846.32	Professional		$93.47	$292.20	$846.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $151.37 / $333.70	Facility		$92.83	$151.37	$333.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $339.12 / $438.82 / $651.86	Professional		$339.12	$438.82	$651.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.12 / $298.12 / $482.13	Facility		$298.12	$298.12	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.89 / $395.43 / $613.70	Professional		$268.89	$395.43	$613.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $348.16 / $3,479.91	Facility		$148.19	$348.16	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $389.38 / $850.53	Professional		$106.40	$389.38	$850.53
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $392.70 / $872.61	Professional		$267.83	$392.70	$872.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $103.62 / $103.62 / $298.12	Facility		$103.62	$103.62	$298.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $268.89 / $395.43 / $627.90	Professional		$268.89	$395.43	$627.90