Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.94 / $2,900.00 / $7,307.00	Facility		$221.94	$2,900.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $228.11 / $421.10	Professional		$155.49	$228.11	$421.10
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 $177.04 / $219.85 / $466.52	Professional		$177.04	$219.85	$466.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.52 / $275.52 / $4,050.00	Facility		$275.52	$275.52	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $275.52 / $330.43	Professional		$275.52	$275.52	$330.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $340.97 / $14,648.00	Facility		$340.97	$340.97	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $292.35 / $786.76	Professional		$191.36	$292.35	$786.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $250.52 / $549.97	Facility		$140.00	$250.52	$549.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $366.67 / $561.65	Professional		$265.83	$366.67	$561.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.54 / $229.54 / $229.54	Facility		$229.54	$229.54	$229.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $291.02 / $513.37	Professional		$148.69	$291.02	$513.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $555.00 / $597.00	Facility		$340.97	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $193.37 / $308.89 / $780.08	Professional		$193.37	$308.89	$780.08
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 $201.54 / $283.33 / $677.59	Professional		$201.54	$283.33	$677.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $244.03 / $244.03 / $738.34	Facility		$244.03	$244.03	$738.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $319.89 / $518.79	Professional		$148.69	$319.89	$518.79