Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.38 / $2,660.00 / $7,521.00	Facility		$236.38	$2,660.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $307.67 / $568.66	Professional		$155.63	$307.67	$568.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $308.74 / $723.14	Professional		$236.48	$308.74	$723.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $237.83 / $1,254.00 / $4,050.00	Facility		$237.83	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $237.83 / $237.83 / $529.08	Professional		$237.83	$237.83	$529.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.44 / $271.44 / $271.44	Facility		$271.44	$271.44	$271.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.92 / $392.94 / $1,034.53	Professional		$167.92	$392.94	$1,034.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $195.43 / $409.61	Facility		$75.00	$195.43	$409.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $348.43 / $486.76 / $714.68	Professional		$348.43	$486.76	$714.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $299.20 / $299.20	Facility		$299.20	$299.20	$299.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.81 / $381.18 / $692.36	Professional		$274.81	$381.18	$692.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $271.44 / $555.00 / $37,776.00	Facility		$271.44	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $441.35 / $1,072.50	Professional		$170.14	$441.35	$1,072.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.32 / $481.38 / $1,192.67	Professional		$312.32	$481.38	$1,192.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $186.37 / $186.37 / $700.68	Facility		$186.37	$186.37	$700.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $407.95 / $692.36	Professional		$299.20	$407.95	$692.36