Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.51 / $2,736.00 / $7,307.00	Facility		$229.51	$2,736.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $271.52 / $527.03	Professional		$158.22	$271.52	$527.03
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 $220.35 / $282.02 / $651.80	Professional		$220.35	$282.02	$651.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $230.79 / $1,716.00 / $6,213.00	Facility		$230.79	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $230.79 / $230.79 / $442.30	Professional		$230.79	$230.79	$442.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $283.12 / $4,612.43	Facility		$283.12	$283.12	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.42 / $355.78 / $798.95	Professional		$167.42	$355.78	$798.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $250.00 / $453.71	Facility		$80.00	$250.00	$453.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $336.94 / $434.92 / $647.67	Professional		$336.94	$434.92	$647.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.52 / $293.52 / $639.45	Facility		$293.52	$293.52	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.74 / $360.37 / $580.48	Professional		$210.74	$360.37	$580.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $555.00 / $4,612.43	Facility		$283.12	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $387.42 / $798.24	Professional		$180.05	$387.42	$798.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,439.00 / $7,203.00	Facility		$1,764.00	$3,439.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.97 / $352.22 / $768.55	Professional		$242.97	$352.22	$768.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $197.12 / $197.12 / $639.45	Facility		$197.12	$197.12	$639.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.74 / $419.06 / $627.71	Professional		$210.74	$419.06	$627.71