Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,043.00 / $9,661.00	Facility		$1,508.00	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $191.78 / $317.61	Professional		$126.69	$191.78	$317.61
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 $141.32 / $173.65 / $399.75	Professional		$141.32	$173.65	$399.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $240.68 / $4,050.00	Facility		$240.68	$240.68	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $240.68 / $240.68 / $240.68	Professional		$240.68	$240.68	$240.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $213.02	Facility		$213.02	$213.02	$213.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.99 / $888.71 / $888.71	Professional		$213.99	$888.71	$888.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $212.32 / $323.77 / $495.20	Facility		$212.32	$323.77	$495.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $241.47 / $424.77	Professional		$123.85	$241.47	$424.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.93 / $176.93 / $176.93	Facility		$176.93	$176.93	$176.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $242.61 / $390.14	Professional		$150.38	$242.61	$390.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $555.00 / $597.00	Facility		$213.02	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.99 / $888.71 / $888.71	Professional		$213.99	$888.71	$888.71
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 $155.44 / $234.96 / $492.99	Professional		$155.44	$234.96	$492.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.40 / $214.79 / $214.79	Facility		$108.40	$214.79	$214.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $176.93 / $254.54 / $467.50	Professional		$176.93	$254.54	$467.50