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 $64.53 / $97.65 / $406.48	Professional		$64.53	$97.65	$406.48
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 $71.95 / $89.35 / $173.39	Professional		$71.95	$89.35	$173.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.22 / $123.22 / $4,050.00	Facility		$123.22	$123.22	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.22 / $123.22 / $123.22	Professional		$123.22	$123.22	$123.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $108.95 / $14,648.00	Facility		$108.95	$108.95	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $453.71 / $453.71	Professional		$109.08	$453.71	$453.71
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 $75.56 / $127.33 / $200.55	Professional		$75.56	$127.33	$200.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $555.00 / $597.00	Facility		$108.95	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $453.71 / $453.71	Professional		$109.08	$453.71	$453.71
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 $80.73 / $121.08 / $275.94	Professional		$80.73	$121.08	$275.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $90.95 / $90.95	Facility		$84.12	$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