Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $3,205.00 / $7,735.00	Facility		$227.07	$3,205.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $181.18 / $295.55	Professional		$148.19	$181.18	$295.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $156.24 / $344.57	Professional		$125.81	$156.24	$344.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $217.34 / $217.34 / $16,534.50	Facility		$217.34	$217.34	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $217.34 / $217.34 / $217.34	Professional		$217.34	$217.34	$217.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $172.15 / $6,511.02	Facility		$172.15	$172.15	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $258.80 / $544.38	Professional		$124.91	$258.80	$544.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $254.90 / $573.49	Facility		$163.36	$254.90	$573.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $205.33 / $307.29	Professional		$154.65	$205.33	$307.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.61 / $141.61 / $639.45	Facility		$141.61	$141.61	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $180.58 / $280.26	Professional		$127.84	$180.58	$280.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $597.00 / $6,511.02	Facility		$172.15	$597.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $227.10 / $532.09	Professional		$118.89	$227.10	$532.09
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 $128.69 / $183.37 / $442.92	Professional		$128.69	$183.37	$442.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $180.58 / $180.58 / $378.09	Facility		$180.58	$180.58	$378.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $202.53 / $381.72	Professional		$145.00	$202.53	$381.72