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 $63.37 / $90.00 / $175.86	Professional		$63.37	$90.00	$175.86
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 $70.51 / $87.57 / $173.39	Professional		$70.51	$87.57	$173.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $121.27 / $4,050.00	Facility		$121.27	$121.27	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $121.27 / $121.27	Professional		$121.27	$121.27	$121.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $14,648.00	Facility		$104.83	$104.83	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $436.55 / $436.55	Professional		$109.08	$436.55	$436.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $192.10 / $332.00	Facility		$109.14	$192.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $123.69 / $217.32	Professional		$63.67	$123.69	$217.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $90.95 / $90.95	Facility		$90.95	$90.95	$90.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $127.33 / $200.55	Professional		$74.61	$127.33	$200.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $555.00 / $597.00	Facility		$104.83	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $436.55 / $436.55	Professional		$109.08	$436.55	$436.55
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 $77.29 / $117.89 / $250.26	Professional		$77.29	$117.89	$250.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $90.95 / $90.95	Facility		$83.06	$90.95	$90.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $90.95 / $200.55	Professional		$90.95	$90.95	$200.55