Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.99 / $2,660.00 / $7,343.00	Facility		$220.99	$2,660.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $241.70 / $449.28	Professional		$161.53	$241.70	$449.28
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 $196.02 / $254.19 / $548.25	Professional		$196.02	$254.19	$548.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $227.38 / $227.38 / $6,213.00	Facility		$227.38	$227.38	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $227.38 / $362.02	Professional		$227.38	$227.38	$362.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.31 / $270.31 / $14,648.00	Facility		$270.31	$270.31	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $309.01 / $758.43	Professional		$170.73	$309.01	$758.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.16 / $284.00 / $491.32	Facility		$170.16	$284.00	$491.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $375.77 / $552.10	Professional		$268.77	$375.77	$552.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.81 / $230.81 / $230.81	Facility		$230.81	$230.81	$230.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.56 / $304.92 / $537.89	Professional		$189.56	$304.92	$537.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $270.31 / $555.00 / $597.00	Facility		$270.31	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $332.42 / $754.62	Professional		$187.57	$332.42	$754.62
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 $220.64 / $309.73 / $775.79	Professional		$220.64	$309.73	$775.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $195.54 / $195.54 / $486.21	Facility		$195.54	$195.54	$486.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $189.56 / $321.64 / $537.89	Professional		$189.56	$321.64	$537.89