Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.40 / $2,626.00 / $7,307.00	Facility		$129.40	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $149.72 / $253.10	Professional		$93.27	$149.72	$253.10
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 $104.70 / $130.02 / $318.39	Professional		$104.70	$130.02	$318.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $4,050.00	Facility		$128.72	$128.72	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $212.28	Professional		$128.72	$128.72	$212.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $153.58 / $1,538.00	Facility		$153.58	$153.58	$1,538.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $185.08 / $451.74	Professional		$98.37	$185.08	$451.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $137.91 / $332.00	Facility		$50.00	$137.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.06 / $199.98 / $299.29	Professional		$152.06	$199.98	$299.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.91 / $137.91 / $137.91	Facility		$137.91	$137.91	$137.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $177.81 / $275.95	Professional		$120.91	$177.81	$275.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $153.58 / $1,538.00	Facility		$153.58	$153.58	$1,538.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $193.33 / $432.48	Professional		$109.25	$193.33	$432.48
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $172.40 / $409.08	Professional		$120.10	$172.40	$409.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $106.34 / $416.24	Facility		$106.34	$106.34	$416.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $199.42 / $298.42	Professional		$137.91	$199.42	$298.42