Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.63 / $2,842.00 / $7,521.00	Facility		$246.63	$2,842.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.42 / $204.38 / $503.03	Professional		$166.42	$204.38	$503.03
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 $136.51 / $178.45 / $433.37	Professional		$136.51	$178.45	$433.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $253.56 / $1,254.00 / $4,050.00	Facility		$253.56	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $253.56 / $253.56 / $253.56	Professional		$253.56	$253.56	$253.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $14,648.00	Facility		$202.08	$202.08	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $289.04 / $856.15	Professional		$171.67	$289.04	$856.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.03 / $332.00 / $694.50	Facility		$200.03	$332.00	$694.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.81 / $270.83 / $386.04	Professional		$204.81	$270.83	$386.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.69 / $166.69 / $166.69	Facility		$166.69	$166.69	$166.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $176.39 / $376.92	Professional		$133.35	$176.39	$376.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $555.00 / $597.00	Facility		$202.08	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $289.04 / $748.53	Professional		$184.49	$289.04	$748.53
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $251.30 / $568.41	Professional		$162.16	$251.30	$568.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $207.52 / $207.52 / $894.70	Facility		$207.52	$207.52	$894.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $228.57 / $451.67	Professional		$145.30	$228.57	$451.67