Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $2,626.00 / $9,038.00	Facility		$178.12	$2,626.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $208.94 / $369.89	Professional		$136.02	$208.94	$369.89
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 $157.99 / $200.61 / $473.52	Professional		$157.99	$200.61	$473.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.55 / $199.55 / $4,050.00	Facility		$199.55	$199.55	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.55 / $199.55 / $314.13	Professional		$199.55	$199.55	$314.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $243.10 / $243.10	Facility		$243.10	$243.10	$243.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $274.62 / $684.44	Professional		$150.34	$274.62	$684.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $155.28 / $250.00 / $423.85	Facility		$155.28	$250.00	$423.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $328.38 / $450.72	Professional		$202.49	$328.38	$450.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.95 / $206.95 / $206.95	Facility		$206.95	$206.95	$206.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $263.45 / $464.74	Professional		$172.69	$263.45	$464.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $555.00 / $597.00	Facility		$243.10	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $295.83 / $660.19	Professional		$154.47	$295.83	$660.19
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 $198.02 / $286.02 / $715.75	Professional		$198.02	$286.02	$715.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $170.66 / $170.66 / $524.23	Facility		$170.66	$170.66	$524.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $288.41 / $464.74	Professional		$172.69	$288.41	$464.74