Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.31 / $2,660.00 / $7,521.00	Facility		$318.31	$2,660.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.62 / $297.74 / $504.04	Professional		$246.62	$297.74	$504.04
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 $224.91 / $285.18 / $647.63	Professional		$224.91	$285.18	$647.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $365.92 / $365.92 / $6,213.00	Facility		$365.92	$365.92	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $365.92 / $365.92 / $411.28	Professional		$365.92	$365.92	$411.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.33 / $394.33 / $14,648.00	Facility		$394.33	$394.33	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.61 / $413.59 / $990.61	Professional		$262.61	$413.59	$990.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $248.68 / $345.00 / $600.32	Facility		$248.68	$345.00	$600.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $286.58 / $393.30 / $575.62	Professional		$286.58	$393.30	$575.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.10 / $246.10 / $246.10	Facility		$246.10	$246.10	$246.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.82 / $314.20 / $554.25	Professional		$213.82	$314.20	$554.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $394.33 / $555.00 / $597.00	Facility		$394.33	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $261.23 / $416.96 / $966.23	Professional		$261.23	$416.96	$966.23
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.69 / $359.54 / $901.44	Professional		$253.69	$359.54	$901.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.82 / $281.82 / $1,217.61	Facility		$281.82	$281.82	$1,217.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.03 / $342.96 / $599.12	Professional		$240.03	$342.96	$599.12