Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.43 / $2,842.00 / $7,307.00	Facility		$175.43	$2,842.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $202.08 / $365.23	Professional		$103.94	$202.08	$365.23
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 $141.25 / $179.39 / $480.44	Professional		$141.25	$179.39	$480.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $1,254.00 / $4,050.00	Facility		$147.05	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $147.05 / $322.27	Professional		$147.05	$147.05	$322.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $1,025.00 / $39,142.00	Facility		$179.75	$1,025.00	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $242.02 / $596.39	Professional		$110.71	$242.02	$596.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $169.54 / $397.88	Facility		$95.00	$169.54	$397.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $300.31 / $448.69	Professional		$233.42	$300.31	$448.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.59 / $202.59 / $482.13	Facility		$202.59	$202.59	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $287.68 / $409.03	Professional		$170.74	$287.68	$409.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $1,025.00 / $39,142.00	Facility		$179.75	$1,025.00	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $269.22 / $572.00	Professional		$132.96	$269.22	$572.00
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 $172.40 / $249.27 / $538.92	Professional		$172.40	$249.27	$538.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $593.91	Facility		$150.50	$150.50	$593.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $292.62 / $442.31	Professional		$170.74	$292.62	$442.31