Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $2,660.00 / $7,521.00	Facility		$158.38	$2,660.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $215.94 / $434.54	Professional		$97.68	$215.94	$434.54
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 $158.85 / $211.52 / $555.80	Professional		$158.85	$211.52	$555.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $146.06 / $1,254.00 / $4,050.00	Facility		$146.06	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $146.06 / $378.10	Professional		$146.06	$146.06	$378.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.85 / $180.85 / $180.85	Facility		$180.85	$180.85	$180.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $273.24 / $724.09	Professional		$109.42	$273.24	$724.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $86.47 / $156.16 / $351.07	Facility		$86.47	$156.16	$351.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $423.88 / $2,084.09	Professional		$284.77	$423.88	$2,084.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.54 / $244.54 / $244.54	Facility		$244.54	$244.54	$244.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.79 / $316.25 / $574.41	Professional		$216.79	$316.25	$574.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $180.85 / $555.00 / $597.00	Facility		$180.85	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $308.39 / $724.09	Professional		$121.99	$308.39	$724.09
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 $219.95 / $329.93 / $783.61	Professional		$219.95	$329.93	$783.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $124.88 / $124.88 / $233.36	Facility		$124.88	$124.88	$233.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $216.79 / $316.25 / $574.41	Professional		$216.79	$316.25	$574.41