Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.83 / $2,900.00 / $7,307.00	Facility		$221.83	$2,900.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.27 / $204.68 / $348.06	Professional		$165.27	$204.68	$348.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $193.22 / $461.91	Professional		$152.38	$193.22	$461.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $246.22 / $246.22 / $6,213.00	Facility		$246.22	$246.22	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $246.22 / $246.22 / $274.39	Professional		$246.22	$246.22	$274.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.42 / $302.42 / $14,648.00	Facility		$302.42	$302.42	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $278.00 / $682.23	Professional		$179.82	$278.00	$682.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $262.50 / $465.37	Facility		$175.00	$262.50	$465.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.59 / $303.83 / $444.87	Professional		$220.59	$303.83	$444.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.43 / $189.43 / $189.43	Facility		$189.43	$189.43	$189.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $205.71 / $426.91	Professional		$164.57	$205.71	$426.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.42 / $555.00 / $597.00	Facility		$302.42	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $286.16 / $675.21	Professional		$179.82	$286.16	$675.21
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 $165.98 / $237.00 / $553.23	Professional		$165.98	$237.00	$553.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $217.53 / $217.53 / $824.93	Facility		$217.53	$217.53	$824.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $263.99 / $462.45	Professional		$166.07	$263.99	$462.45