Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.52 / $2,985.00 / $7,307.00	Facility		$406.52	$2,985.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.30 / $356.35 / $524.35	Professional		$268.30	$356.35	$524.35
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 $225.52 / $280.06 / $620.48	Professional		$225.52	$280.06	$620.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $387.74 / $387.74 / $4,050.00	Facility		$387.74	$387.74	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $387.74 / $387.74 / $387.74	Professional		$387.74	$387.74	$387.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $308.95 / $6,511.02	Facility		$308.95	$308.95	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $476.96 / $963.90	Professional		$218.90	$476.96	$963.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $329.69 / $691.83	Facility		$245.00	$329.69	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.73 / $367.73 / $550.33	Professional		$276.73	$367.73	$550.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.61 / $253.61 / $639.45	Facility		$253.61	$253.61	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $364.54 / $504.61	Professional		$229.62	$364.54	$504.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $555.00 / $6,511.02	Facility		$308.95	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $289.41 / $394.85 / $899.34	Professional		$289.41	$394.85	$899.34
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 $229.53 / $325.52 / $761.78	Professional		$229.53	$325.52	$761.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $293.75 / $325.14 / $387.96	Facility		$293.75	$325.14	$387.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $276.37 / $364.65 / $687.29	Professional		$276.37	$364.65	$687.29