Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.98 / $3,917.00 / $9,523.00	Facility		$221.98	$3,917.00	$9,523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $203.15 / $529.98	Professional		$165.60	$203.15	$529.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $192.00 / $449.35	Professional		$146.88	$192.00	$449.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $1,990.00 / $8,917.50	Facility		$246.40	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $246.40 / $246.40	Professional		$246.40	$246.40	$246.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $199.04 / $199.04	Facility		$199.04	$199.04	$199.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.22 / $304.60 / $658.44	Professional		$176.22	$304.60	$658.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $257.61 / $445.86	Facility		$175.00	$257.61	$445.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $261.60 / $382.45	Professional		$192.13	$261.60	$382.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.99 / $164.99 / $164.99	Facility		$164.99	$164.99	$164.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.26 / $181.08 / $375.79	Professional		$156.26	$181.08	$375.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $555.00 / $597.00	Facility		$199.04	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $291.08 / $617.98	Professional		$179.75	$291.08	$617.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $224.97 / $520.71	Professional		$150.62	$224.97	$520.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.03 / $213.03 / $992.64	Facility		$213.03	$213.03	$992.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $229.93 / $450.31	Professional		$169.24	$229.93	$450.31