Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.60 / $2,985.00 / $7,307.00	Facility		$158.60	$2,985.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $137.99 / $235.60	Professional		$110.18	$137.99	$235.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $119.01 / $269.17	Professional		$95.83	$119.01	$269.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $163.37 / $1,254.00 / $4,050.00	Facility		$163.37	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $163.37 / $163.37 / $163.37	Professional		$163.37	$163.37	$163.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $3,479.91	Facility		$132.63	$132.63	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $200.12 / $457.17	Professional		$99.06	$200.12	$457.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.18 / $250.00 / $547.40	Facility		$141.18	$250.00	$547.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $162.72 / $243.93	Professional		$126.90	$162.72	$243.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $108.60 / $482.13	Facility		$108.60	$108.60	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $154.21 / $214.03	Professional		$92.90	$154.21	$214.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $597.00 / $8,498.00	Facility		$132.63	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $111.61 / $181.54 / $429.39	Professional		$111.61	$181.54	$429.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,164.00 / $4,660.00 / $10,305.00	Facility		$2,164.00	$4,660.00	$10,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $141.00 / $325.29	Professional		$98.73	$141.00	$325.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $167.69 / $167.69 / $530.83	Facility		$167.69	$167.69	$530.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $167.69 / $291.51	Professional		$92.90	$167.69	$291.51