Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.21 / $3,133.00 / $7,307.00	Facility		$140.21	$3,133.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $124.52 / $212.94	Professional		$94.37	$124.52	$212.94
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 $84.03 / $104.35 / $235.43	Professional		$84.03	$104.35	$235.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $1,254.00 / $4,050.00	Facility		$145.07	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Professional		$145.07	$145.07	$145.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $117.31 / $3,479.91	Facility		$117.31	$117.31	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $177.96 / $410.89	Professional		$87.04	$177.96	$410.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $158.55 / $346.00	Facility		$73.00	$158.55	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $143.82 / $215.51	Professional		$112.11	$143.82	$215.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.09 / $96.09 / $482.13	Facility		$96.09	$96.09	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $136.44 / $189.53	Professional		$81.31	$136.44	$189.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $597.00 / $5,855.00	Facility		$117.31	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $160.38 / $386.80	Professional		$104.68	$160.38	$386.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $3,972.00 / $9,202.00	Facility		$1,652.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $121.84 / $316.51	Professional		$84.08	$121.84	$316.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $482.13	Facility		$148.50	$148.50	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $148.50 / $258.14	Professional		$81.31	$148.50	$258.14