Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $2,626.00 / $7,307.00	Facility		$120.44	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $143.33 / $287.24	Professional		$80.62	$143.33	$287.24
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 $109.87 / $137.34 / $365.28	Professional		$109.87	$137.34	$365.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.92 / $1,254.00 / $4,050.00	Facility		$114.92	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $114.92 / $205.63	Professional		$114.92	$114.92	$205.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $133.82 / $133.82	Facility		$133.82	$133.82	$133.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $181.29 / $467.77	Professional		$91.33	$181.29	$467.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $78.13 / $125.06 / $332.00	Facility		$78.13	$125.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $217.16 / $1,190.91	Professional		$142.88	$217.16	$1,190.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.69 / $122.69 / $122.69	Facility		$122.69	$122.69	$122.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $234.52 / $497.00	Professional		$122.69	$234.52	$497.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $555.00 / $597.00	Facility		$133.82	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $199.20 / $510.70	Professional		$100.96	$199.20	$510.70
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 $130.99 / $197.76 / $507.48	Professional		$130.99	$197.76	$507.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.21 / $92.21 / $147.19	Facility		$92.21	$92.21	$147.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $234.52 / $425.71	Professional		$133.76	$234.52	$425.71