Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.25 / $3,516.00 / $9,038.00	Facility		$260.25	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $202.71 / $376.61	Professional		$168.94	$202.71	$376.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.15 / $197.59 / $465.09	Professional		$151.15	$197.59	$465.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.01 / $1,254.00 / $4,050.00	Facility		$269.01	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $269.01 / $269.01	Professional		$269.01	$269.01	$269.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $225.06 / $225.06	Facility		$225.06	$225.06	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.79 / $276.31 / $703.97	Professional		$188.79	$276.31	$703.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $214.23 / $308.35 / $524.21	Facility		$214.23	$308.35	$524.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.65 / $313.95 / $449.65	Professional		$235.65	$313.95	$449.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.88 / $186.88 / $186.88	Facility		$186.88	$186.88	$186.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $203.07 / $421.45	Professional		$149.50	$203.07	$421.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $555.00 / $597.00	Facility		$225.06	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $276.31 / $679.23	Professional		$190.19	$276.31	$679.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.18 / $241.49 / $593.22	Professional		$167.18	$241.49	$593.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $238.91 / $238.91 / $739.45	Facility		$238.91	$238.91	$739.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $260.44 / $505.02	Professional		$149.50	$260.44	$505.02