Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.26 / $3,978.00 / $10,170.00	Facility		$246.26	$3,978.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $191.58 / $372.35	Professional		$156.41	$191.58	$372.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $177.78 / $406.33	Professional		$136.00	$177.78	$406.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $255.56 / $1,716.00 / $6,213.00	Facility		$255.56	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $255.56 / $255.56 / $255.56	Professional		$255.56	$255.56	$255.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $203.62 / $14,648.00	Facility		$203.62	$203.62	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $281.89 / $764.85	Professional		$162.43	$281.89	$764.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $272.66 / $471.92	Facility		$200.00	$272.66	$471.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $273.70 / $404.80	Professional		$193.15	$273.70	$404.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.86 / $165.86 / $165.86	Facility		$165.86	$165.86	$165.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $175.07 / $374.11	Professional		$144.21	$175.07	$374.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $555.00 / $36,596.00	Facility		$203.62	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $184.03 / $287.75 / $719.58	Professional		$184.03	$287.75	$719.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,671.00 / $4,715.00	Facility		$1,252.00	$2,671.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $251.69 / $593.26	Professional		$162.80	$251.69	$593.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $205.97 / $205.97 / $566.62	Facility		$205.97	$205.97	$566.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $227.42 / $448.30	Professional		$158.43	$227.42	$448.30