Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.09 / $2,865.00 / $7,563.00	Facility		$228.09	$2,865.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $243.76 / $420.81	Professional		$154.11	$243.76	$420.81
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 $198.38 / $251.95 / $563.54	Professional		$198.38	$251.95	$563.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $225.12 / $4,050.00	Facility		$225.12	$225.12	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $225.12 / $225.12 / $362.15	Professional		$225.12	$225.12	$362.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $273.77 / $273.77	Facility		$273.77	$273.77	$273.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $318.39 / $810.43	Professional		$171.22	$318.39	$810.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.45 / $250.00 / $424.96	Facility		$173.45	$250.00	$424.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $272.88 / $383.72 / $564.54	Professional		$272.88	$383.72	$564.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.33 / $234.33 / $234.33	Facility		$234.33	$234.33	$234.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.88 / $304.29 / $536.78	Professional		$202.88	$304.29	$536.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $555.00 / $597.00	Facility		$273.77	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $176.53 / $338.39 / $777.59	Professional		$176.53	$338.39	$777.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.12 / $3,496.00 / $5,963.00	Facility		$1,399.12	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.18 / $323.82 / $787.38	Professional		$224.18	$323.82	$787.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $194.91 / $194.91 / $739.04	Facility		$194.91	$194.91	$739.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.88 / $326.57 / $536.78	Professional		$202.88	$326.57	$536.78