Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.79 / $2,626.00 / $7,028.00	Facility		$138.79	$2,626.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $185.63 / $338.02	Professional		$95.46	$185.63	$338.02
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 $125.65 / $165.79 / $461.06	Professional		$125.65	$165.79	$461.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.68 / $1,254.00 / $4,050.00	Facility		$134.68	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $134.68 / $291.27	Professional		$134.68	$134.68	$291.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $171.25 / $3,479.91	Facility		$171.25	$171.25	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $221.75 / $553.28	Professional		$98.50	$221.75	$553.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $153.69 / $346.00	Facility		$60.00	$153.69	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $223.13 / $410.79	Professional		$91.60	$223.13	$410.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.14 / $194.14 / $482.13	Facility		$194.14	$194.14	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.04 / $261.39 / $392.50	Professional		$166.04	$261.39	$392.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $597.00 / $5,855.00	Facility		$171.25	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $247.43 / $551.67	Professional		$105.52	$247.43	$551.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.21 / $219.06 / $525.08	Professional		$150.21	$219.06	$525.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $144.27 / $482.13	Facility		$144.27	$144.27	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $166.04 / $263.01 / $424.43	Professional		$166.04	$263.01	$424.43