Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.67 / $2,952.00 / $9,038.00	Facility		$266.67	$2,952.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $254.41 / $502.01	Professional		$210.98	$254.41	$502.01
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 $181.12 / $236.76 / $559.76	Professional		$181.12	$236.76	$559.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $337.67 / $1,254.00 / $4,050.00	Facility		$337.67	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $337.67 / $337.67 / $341.48	Professional		$337.67	$337.67	$341.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.55 / $415.55 / $415.55	Facility		$415.55	$415.55	$415.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.64 / $343.21 / $891.23	Professional		$234.64	$343.21	$891.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $304.52 / $668.36	Facility		$190.00	$304.52	$668.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.57 / $390.92 / $577.04	Professional		$274.57	$390.92	$577.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.78 / $235.78 / $235.78	Facility		$235.78	$235.78	$235.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $299.14 / $527.69	Professional		$180.53	$299.14	$527.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $415.55 / $555.00 / $597.00	Facility		$415.55	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $236.72 / $348.44 / $856.13	Professional		$236.72	$348.44	$856.13
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 $209.66 / $294.73 / $741.39	Professional		$209.66	$294.73	$741.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $296.77 / $296.77 / $915.49	Facility		$296.77	$296.77	$915.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.76 / $328.59 / $627.33	Professional		$200.76	$328.59	$627.33