Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.56 / $2,792.00 / $7,095.00	Facility		$171.56	$2,792.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $205.96 / $362.35	Professional		$104.97	$205.96	$362.35
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 $145.65 / $184.98 / $491.32	Professional		$145.65	$184.98	$491.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $148.90 / $1,254.00 / $4,050.00	Facility		$148.90	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $148.90 / $327.95	Professional		$148.90	$148.90	$327.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $180.95 / $3,479.91	Facility		$180.95	$180.95	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $242.77 / $596.00	Professional		$110.53	$242.77	$596.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $127.73 / $190.94 / $412.79	Facility		$127.73	$190.94	$412.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $238.58 / $307.10 / $458.61	Professional		$238.58	$307.10	$458.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.23 / $207.23 / $482.13	Facility		$207.23	$207.23	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $294.26 / $418.15	Professional		$177.51	$294.26	$418.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $597.00 / $5,855.00	Facility		$180.95	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $269.26 / $581.74	Professional		$131.40	$269.26	$581.74
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 $172.08 / $251.63 / $598.04	Professional		$172.08	$251.63	$598.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.88 / $151.88 / $527.84	Facility		$151.88	$151.88	$527.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $302.17 / $452.17	Professional		$177.51	$302.17	$452.17