Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $2,792.00 / $7,095.00	Facility		$137.09	$2,792.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $167.84 / $313.41	Professional		$80.53	$167.84	$313.41
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 $121.94 / $160.90 / $441.20	Professional		$121.94	$160.90	$441.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $1,254.00 / $4,050.00	Facility		$117.61	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $117.61 / $293.79	Professional		$117.61	$117.61	$293.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $143.87 / $3,479.91	Facility		$143.87	$143.87	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $207.94 / $551.94	Professional		$88.73	$207.94	$551.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $143.36 / $346.00	Facility		$90.00	$143.36	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $275.02 / $409.98	Professional		$213.28	$275.02	$409.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.47 / $185.47 / $482.13	Facility		$185.47	$185.47	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.62 / $250.27 / $375.80	Professional		$140.62	$250.27	$375.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $597.00 / $5,855.00	Facility		$143.87	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $245.79 / $533.21	Professional		$105.80	$245.79	$533.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,673.00 / $3,439.00 / $7,203.00	Facility		$1,673.00	$3,439.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $224.26 / $507.01	Professional		$150.63	$224.26	$507.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $121.58 / $482.13	Facility		$121.58	$121.58	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $140.62 / $251.82 / $406.38	Professional		$140.62	$251.82	$406.38