Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.79 / $3,951.00 / $10,170.00	Facility		$305.79	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.12 / $244.25 / $472.55	Professional		$198.12	$244.25	$472.55
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 $162.63 / $212.60 / $500.05	Professional		$162.63	$212.60	$500.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $304.02 / $1,716.00 / $6,213.00	Facility		$304.02	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $304.02 / $304.02	Professional		$304.02	$304.02	$304.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $242.82 / $14,648.00	Facility		$242.82	$242.82	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.04 / $343.49 / $915.33	Professional		$208.04	$343.49	$915.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $226.84 / $318.00 / $564.44	Facility		$226.84	$318.00	$564.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.77 / $327.29 / $484.16	Professional		$230.77	$327.29	$484.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.17 / $198.17 / $198.17	Facility		$198.17	$198.17	$198.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.07 / $245.65 / $446.19	Professional		$174.07	$245.65	$446.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $555.00 / $36,596.00	Facility		$242.82	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $343.25 / $887.32	Professional		$220.91	$343.25	$887.32
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 $194.19 / $300.58 / $662.27	Professional		$194.19	$300.58	$662.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $237.27 / $245.65 / $697.90	Facility		$237.27	$245.65	$697.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $187.38 / $263.06 / $534.66	Professional		$187.38	$263.06	$534.66