Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.56 / $2,626.00 / $7,185.00	Facility		$132.56	$2,626.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.47 / $237.97 / $472.72	Professional		$94.47	$237.97	$472.72
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 $203.73 / $261.08 / $668.60	Professional		$203.73	$261.08	$668.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.31 / $1,254.00 / $4,050.00	Facility		$133.31	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $133.31 / $493.30	Professional		$133.31	$133.31	$493.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $162.66 / $3,479.91	Facility		$162.66	$162.66	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $293.86 / $808.34	Professional		$103.51	$293.86	$808.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $148.97 / $346.00	Facility		$90.00	$148.97	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $339.99 / $439.19 / $653.54	Professional		$339.99	$439.19	$653.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.58 / $296.58 / $482.13	Facility		$296.58	$296.58	$482.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $391.38 / $607.41	Professional		$229.77	$391.38	$607.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $597.00 / $5,855.00	Facility		$162.66	$597.00	$5,855.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $368.40 / $808.34	Professional		$122.67	$368.40	$808.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $3,963.00 / $7,939.00	Facility		$1,925.00	$3,963.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $365.58 / $860.65	Professional		$256.95	$365.58	$860.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.60 / $112.60 / $559.60	Facility		$112.60	$112.60	$559.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $391.38 / $656.84	Professional		$229.77	$391.38	$656.84