Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.14 / $4,648.00 / $11,396.00	Facility		$244.14	$4,648.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.75 / $229.51 / $459.17	Professional		$181.75	$229.51	$459.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,381.00 / $4,120.00 / $8,640.00	Facility		$2,381.00	$4,120.00	$8,640.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.79 / $316.97 / $509.42	Professional		$254.79	$316.97	$509.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $286.04 / $286.04 / $37,499.62	Facility		$286.04	$286.04	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $286.04 / $286.04 / $286.04	Professional		$286.04	$286.04	$286.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $235.62	Facility		$235.62	$235.62	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $325.17 / $973.95	Professional		$199.50	$325.17	$973.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $243.00 / $388.76 / $804.45	Facility		$243.00	$388.76	$804.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.04 / $317.45 / $500.20	Professional		$224.04	$317.45	$500.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.41 / $187.41 / $187.41	Facility		$187.41	$187.41	$187.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $256.98 / $423.18	Professional		$163.13	$256.98	$423.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $555.00 / $37,776.00	Facility		$235.62	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $212.27 / $325.17 / $909.33	Professional		$212.27	$325.17	$909.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.21 / $286.98 / $752.49	Professional		$185.21	$286.98	$752.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $337.77 / $337.77 / $974.88	Facility		$337.77	$337.77	$974.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $276.10 / $507.10	Professional		$173.15	$276.10	$507.10