Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.01 / $4,452.00 / $10,686.00	Facility		$235.01	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $195.93 / $340.21	Professional		$153.78	$195.93	$340.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.62 / $170.75 / $403.03	Professional		$130.62	$170.75	$403.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $244.97 / $1,990.00 / $8,917.50	Facility		$244.97	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $244.97 / $244.97 / $244.97	Professional		$244.97	$244.97	$244.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $14,648.00	Facility		$195.23	$195.23	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.53 / $276.18 / $732.67	Professional		$163.53	$276.18	$732.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $201.31 / $400.00 / $705.00	Facility		$201.31	$400.00	$705.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $262.64 / $388.53	Professional		$185.19	$262.64	$388.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.03 / $159.03 / $159.03	Facility		$159.03	$159.03	$159.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.68 / $197.53 / $358.78	Professional		$142.68	$197.53	$358.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $555.00 / $36,596.00	Facility		$195.23	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $176.95 / $273.98 / $690.88	Professional		$176.95	$273.98	$690.88
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 $155.55 / $241.96 / $577.53	Professional		$155.55	$241.96	$577.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $197.53 / $197.53 / $869.91	Facility		$197.53	$197.53	$869.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $218.06 / $429.93	Professional		$154.44	$218.06	$429.93