Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.97 / $2,952.00 / $7,735.00	Facility		$134.97	$2,952.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.26 / $125.42 / $203.34	Professional		$104.26	$125.42	$203.34
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 $87.09 / $108.15 / $253.27	Professional		$87.09	$108.15	$253.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.88 / $1,254.00 / $4,050.00	Facility		$150.88	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $150.88 / $150.88	Professional		$150.88	$150.88	$150.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $120.58 / $3,479.91	Facility		$120.58	$120.58	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $173.03 / $375.12	Professional		$89.37	$173.03	$375.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $127.52 / $215.25 / $389.27	Facility		$127.52	$215.25	$389.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $131.63 / $196.50	Professional		$106.55	$131.63	$196.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.09 / $98.09 / $482.13	Facility		$98.09	$98.09	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $120.43 / $196.30	Professional		$91.41	$120.43	$196.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $555.00 / $3,479.91	Facility		$120.58	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $161.75 / $358.74	Professional		$110.70	$161.75	$358.74
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 $90.32 / $130.58 / $276.58	Professional		$90.32	$130.58	$276.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $126.48 / $482.13	Facility		$126.48	$126.48	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $141.86 / $268.89	Professional		$93.92	$141.86	$268.89