Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.50 / $2,974.00 / $9,038.00	Facility		$234.50	$2,974.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $228.41 / $398.81	Professional		$168.03	$228.41	$398.81
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 $160.97 / $204.10 / $487.08	Professional		$160.97	$204.10	$487.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $249.82 / $1,254.00 / $4,050.00	Facility		$249.82	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $249.82 / $249.82 / $298.52	Professional		$249.82	$249.82	$298.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $302.72 / $302.72	Facility		$302.72	$302.72	$302.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $290.74 / $777.95	Professional		$174.04	$290.74	$777.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $217.70 / $459.59	Facility		$75.00	$217.70	$459.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.39 / $319.08 / $468.39	Professional		$230.39	$319.08	$468.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.85 / $197.85 / $197.85	Facility		$197.85	$197.85	$197.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.93 / $245.35 / $445.63	Professional		$171.93	$245.35	$445.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $555.00 / $36,596.00	Facility		$302.72	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $299.27 / $784.95	Professional		$178.50	$299.27	$784.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,657.00 / $3,146.00 / $5,413.00	Facility		$1,657.00	$3,146.00	$5,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $289.74 / $620.52	Professional		$186.26	$289.74	$620.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $207.00 / $781.84	Facility		$207.00	$207.00	$781.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $203.17 / $271.29 / $453.11	Professional		$203.17	$271.29	$453.11