Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,845.00 / $10,965.00	Facility		$1,516.00	$5,845.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $197.33 / $303.98	Professional		$142.08	$197.33	$303.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $182.61 / $437.34	Professional		$151.60	$182.61	$437.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.35 / $269.35 / $4,050.00	Facility		$269.35	$269.35	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.35 / $269.35 / $269.35	Professional		$269.35	$269.35	$269.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $236.22 / $236.22	Facility		$236.22	$236.22	$236.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.07 / $983.81 / $983.81	Professional		$234.07	$983.81	$983.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $233.28 / $332.00 / $546.10	Facility		$233.28	$332.00	$546.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.08 / $265.69 / $468.43	Professional		$136.08	$265.69	$468.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.40 / $194.40 / $194.40	Facility		$194.40	$194.40	$194.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.56 / $272.16 / $428.66	Professional		$163.56	$272.16	$428.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $555.00 / $597.00	Facility		$236.22	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.07 / $983.81 / $983.81	Professional		$234.07	$983.81	$983.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.61 / $256.02 / $546.92	Professional		$173.61	$256.02	$546.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $182.10 / $194.40 / $194.40	Facility		$182.10	$194.40	$194.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $194.40 / $428.66	Professional		$194.40	$194.40	$428.66