Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.42 / $2,902.00 / $7,521.00	Facility		$229.42	$2,902.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $248.68 / $429.35	Professional		$151.09	$248.68	$429.35
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 $204.29 / $259.45 / $574.17	Professional		$204.29	$259.45	$574.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $4,050.00	Facility		$219.62	$219.62	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $373.84	Professional		$219.62	$219.62	$373.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.50 / $261.50 / $261.50	Facility		$261.50	$261.50	$261.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.76 / $320.63 / $801.20	Professional		$166.76	$320.63	$801.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $188.98 / $407.34	Facility		$60.00	$188.98	$407.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.38 / $386.98 / $569.66	Professional		$274.38	$386.98	$569.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $235.62	Facility		$235.62	$235.62	$235.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.01 / $307.13 / $541.78	Professional		$208.01	$307.13	$541.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $261.50 / $555.00 / $597.00	Facility		$261.50	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $335.60 / $786.93	Professional		$167.30	$335.60	$786.93
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 $223.20 / $325.56 / $877.72	Professional		$223.20	$325.56	$877.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $185.90 / $185.90 / $652.84	Facility		$185.90	$185.90	$652.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.01 / $328.36 / $541.78	Professional		$208.01	$328.36	$541.78