Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.49 / $2,985.00 / $7,307.00	Facility		$387.49	$2,985.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $314.16 / $510.72	Professional		$252.00	$314.16	$510.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $265.89 / $589.90	Professional		$214.12	$265.89	$589.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $367.99 / $367.99 / $4,050.00	Facility		$367.99	$367.99	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $367.99 / $367.99 / $367.99	Professional		$367.99	$367.99	$367.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $293.63 / $6,511.02	Facility		$293.63	$293.63	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.87 / $426.69 / $912.02	Professional		$207.87	$426.69	$912.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $269.61 / $332.00 / $655.65	Facility		$269.61	$332.00	$655.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.26 / $348.83 / $522.04	Professional		$262.26	$348.83	$522.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.57 / $240.57 / $639.45	Facility		$240.57	$240.57	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.16 / $347.47 / $479.66	Professional		$210.16	$347.47	$479.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $597.00 / $7,203.72	Facility		$293.63	$597.00	$7,203.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $378.29 / $852.45	Professional		$269.01	$378.29	$852.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,585.00 / $3,908.00 / $9,505.00	Facility		$1,585.00	$3,908.00	$9,505.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $305.37 / $667.22	Professional		$218.27	$305.37	$667.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $309.06 / $309.06 / $621.48	Facility		$309.06	$309.06	$621.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $364.54 / $653.29	Professional		$262.70	$364.54	$653.29