Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.80 / $3,020.00 / $10,170.00	Facility		$118.80	$3,020.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $174.29 / $775.04	Professional		$83.11	$174.29	$775.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $215.64 / $775.05	Professional		$93.50	$215.64	$775.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $130.84 / $130.84 / $130.84	Facility		$130.84	$130.84	$130.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $130.84 / $908.61	Professional		$130.84	$130.84	$908.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $147.18 / $477.36	Facility		$101.25	$147.18	$477.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $300.02 / $1,467.86	Professional		$94.52	$300.02	$1,467.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $110.83 / $332.00	Facility		$55.00	$110.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $705.13 / $931.84 / $1,339.75	Professional		$705.13	$931.84	$1,339.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $654.94 / $1,560.16	Professional		$216.00	$654.94	$1,560.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $147.18 / $597.00	Facility		$147.18	$147.18	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $423.85 / $1,284.49	Professional		$100.00	$423.85	$1,284.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $3,772.00 / $9,300.00	Facility		$1,694.00	$3,772.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $566.34 / $1,399.54	Professional		$300.08	$566.34	$1,399.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $106.35 / $106.35 / $329.82	Facility		$106.35	$106.35	$329.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $237.57 / $777.92 / $1,440.45	Professional		$237.57	$777.92	$1,440.45