Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.69 / $2,974.00 / $9,038.00	Facility		$256.69	$2,974.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.14 / $237.39 / $421.98	Professional		$189.14	$237.39	$421.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $194.01 / $472.79	Professional		$156.22	$194.01	$472.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $300.01 / $1,254.00 / $4,050.00	Facility		$300.01	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $300.01 / $300.01 / $300.01	Professional		$300.01	$300.01	$300.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $240.68 / $3,479.91	Facility		$240.68	$240.68	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $334.57 / $789.28	Professional		$179.65	$334.57	$789.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $257.67 / $575.01	Facility		$90.00	$257.67	$575.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $295.56 / $442.12	Professional		$230.00	$295.56	$442.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.21 / $198.21 / $482.13	Facility		$198.21	$198.21	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $252.99 / $392.64	Professional		$153.85	$252.99	$392.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $555.00 / $3,479.91	Facility		$240.68	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $313.01 / $718.54	Professional		$179.65	$313.01	$718.54
United Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,235.00 / $5,828.00	Facility		$951.00	$3,235.00	$5,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.13 / $250.54 / $580.67	Professional		$171.13	$250.54	$580.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $252.99 / $252.99 / $637.65	Facility		$252.99	$252.99	$637.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $283.74 / $537.84	Professional		$153.85	$283.74	$537.84