Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.01 / $2,985.00 / $7,307.00	Facility		$343.01	$2,985.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $278.52 / $485.83	Professional		$225.59	$278.52	$485.83
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 $189.65 / $235.51 / $529.47	Professional		$189.65	$235.51	$529.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $326.55 / $326.55 / $4,050.00	Facility		$326.55	$326.55	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $326.55 / $326.55 / $326.55	Professional		$326.55	$326.55	$326.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $259.94 / $6,511.02	Facility		$259.94	$259.94	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $400.79 / $811.54	Professional		$183.55	$400.79	$811.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $319.00 / $610.00	Facility		$202.00	$319.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.92 / $309.70 / $463.49	Professional		$253.92	$309.70	$463.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.59 / $213.59 / $639.45	Facility		$213.59	$213.59	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.75 / $307.02 / $424.87	Professional		$193.75	$307.02	$424.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $555.00 / $6,511.02	Facility		$259.94	$555.00	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $243.86 / $340.00 / $758.25	Professional		$243.86	$340.00	$758.25
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 $196.47 / $278.70 / $644.01	Professional		$196.47	$278.70	$644.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $273.75 / $273.75 / $387.96	Facility		$273.75	$273.75	$387.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $232.69 / $337.48 / $578.66	Professional		$232.69	$337.48	$578.66