Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.63 / $2,952.00 / $7,735.00	Facility		$329.63	$2,952.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $286.51 / $491.81	Professional		$212.98	$286.51	$491.81
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 $204.51 / $253.97 / $579.73	Professional		$204.51	$253.97	$579.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $384.58 / $384.58 / $8,917.50	Facility		$384.58	$384.58	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $384.58 / $384.58 / $384.58	Professional		$384.58	$384.58	$384.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.24 / $310.24 / $7,227.90	Facility		$310.24	$310.24	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.42 / $392.82 / $974.43	Professional		$227.42	$392.82	$974.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $319.00 / $737.71	Facility		$155.00	$319.00	$737.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $380.03 / $567.22	Professional		$295.08	$380.03	$567.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.63 / $255.63 / $639.45	Facility		$255.63	$255.63	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $324.01 / $502.86	Professional		$167.29	$324.01	$502.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $310.24 / $555.00 / $7,227.90	Facility		$310.24	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $381.71 / $860.29	Professional		$230.24	$381.71	$860.29
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 $218.28 / $306.76 / $710.61	Professional		$218.28	$306.76	$710.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $324.01 / $324.01 / $639.45	Facility		$324.01	$324.01	$639.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $363.38 / $684.90	Professional		$167.29	$363.38	$684.90