Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.32 / $2,461.77 / $9,868.00	Facility		$190.32	$2,461.77	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $183.22 / $365.29	Professional		$127.93	$183.22	$365.29
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 $140.84 / $174.90 / $433.14	Professional		$140.84	$174.90	$433.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $186.43 / $4,050.00	Facility		$186.43	$186.43	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $186.43 / $251.36	Professional		$186.43	$186.43	$251.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.88 / $224.88 / $14,648.00	Facility		$224.88	$224.88	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $257.43 / $664.98	Professional		$148.72	$257.43	$664.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.55 / $205.80 / $356.20	Facility		$141.55	$205.80	$356.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $281.49 / $417.17	Professional		$194.85	$281.49	$417.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Facility		$167.84	$167.84	$167.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $212.02 / $385.10	Professional		$150.30	$212.02	$385.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $224.88 / $555.00 / $36,596.00	Facility		$224.88	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $260.76 / $664.98	Professional		$151.01	$260.76	$664.98
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 $156.15 / $242.06 / $565.59	Professional		$156.15	$242.06	$565.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $153.34 / $153.34 / $360.98	Facility		$153.34	$153.34	$360.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $227.04 / $385.10	Professional		$166.09	$227.04	$385.10