Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.47 / $2,611.00 / $7,095.00	Facility		$113.47	$2,611.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $197.53 / $446.14	Professional		$78.51	$197.53	$446.14
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 $170.05 / $281.64 / $552.91	Professional		$170.05	$281.64	$552.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.27 / $1,254.00 / $4,050.00	Facility		$112.27	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $112.27 / $405.42	Professional		$112.27	$112.27	$405.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $3,479.91	Facility		$136.18	$136.18	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $262.87 / $706.24	Professional		$87.38	$262.87	$706.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $123.39 / $332.00	Facility		$65.00	$123.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.95 / $363.70 / $540.04	Professional		$280.95	$363.70	$540.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.61 / $247.61 / $482.13	Facility		$247.61	$247.61	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.38 / $325.14 / $504.61	Professional		$182.38	$325.14	$504.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $597.00 / $5,855.00	Facility		$136.18	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $322.91 / $697.08	Professional		$105.26	$322.91	$697.08
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 $192.87 / $287.93 / $683.06	Professional		$192.87	$287.93	$683.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.32 / $95.32 / $482.13	Facility		$95.32	$95.32	$482.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.38 / $325.14 / $517.66	Professional		$182.38	$325.14	$517.66