Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $4,043.00 / $10,170.00	Facility		$1,089.00	$4,043.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $175.45 / $311.91	Professional		$121.68	$175.45	$311.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $160.68 / $273.52	Professional		$136.58	$160.68	$273.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.75 / $218.75 / $218.75	Facility		$218.75	$218.75	$218.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $218.75 / $218.75	Professional		$218.75	$218.75	$218.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.30 / $191.30 / $14,648.00	Facility		$191.30	$191.30	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $796.70 / $796.70	Professional		$172.71	$796.70	$796.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.43 / $298.25 / $447.37	Facility		$180.43	$298.25	$447.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.86 / $266.14 / $383.74	Professional		$190.86	$266.14	$383.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $150.36 / $150.36	Facility		$150.36	$150.36	$150.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $216.92 / $331.55	Professional		$150.36	$216.92	$331.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $191.30 / $555.00 / $597.00	Facility		$191.30	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $540.00	Professional		$450.00	$450.00	$540.00
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 $147.57 / $219.27 / $517.23	Professional		$147.57	$219.27	$517.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $187.95 / $187.95 / $240.76	Facility		$187.95	$187.95	$240.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $210.29 / $397.30	Professional		$150.36	$210.29	$397.30