Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.05 / $3,938.00 / $10,170.00	Facility		$166.05	$3,938.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $130.68 / $227.17	Professional		$106.00	$130.68	$227.17
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 $86.82 / $113.50 / $273.06	Professional		$86.82	$113.50	$273.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $1,716.00 / $6,213.00	Facility		$163.60	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $163.60 / $163.60	Professional		$163.60	$163.60	$163.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $14,648.00	Facility		$130.16	$130.16	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $184.76 / $493.01	Professional		$112.88	$184.76	$493.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $315.00 / $600.00	Facility		$136.63	$315.00	$600.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $175.45 / $259.43	Professional		$123.88	$175.45	$259.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $106.38 / $106.38	Facility		$106.38	$106.38	$106.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.55 / $111.99 / $239.30	Professional		$93.55	$111.99	$239.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $555.00 / $36,596.00	Facility		$130.16	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $184.76 / $488.47	Professional		$118.65	$184.76	$488.47
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $5,412.00	Facility		$964.00	$2,826.00	$5,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $162.25 / $406.40	Professional		$105.62	$162.25	$406.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.75 / $131.75 / $592.08	Facility		$131.75	$131.75	$592.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $145.87 / $286.76	Professional		$103.53	$145.87	$286.76