Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.26 / $2,626.00 / $10,170.00	Facility		$198.26	$2,626.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $242.49 / $478.88	Professional		$150.85	$242.49	$478.88
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 $209.53 / $266.12 / $608.41	Professional		$209.53	$266.12	$608.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.72 / $223.72 / $6,213.00	Facility		$223.72	$223.72	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.72 / $223.72 / $376.98	Professional		$223.72	$223.72	$376.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.82 / $272.82 / $14,648.00	Facility		$272.82	$272.82	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.15 / $331.72 / $843.23	Professional		$172.15	$331.72	$843.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $250.00 / $431.71	Facility		$180.00	$250.00	$431.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $443.60 / $654.23	Professional		$311.80	$443.60	$654.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.75 / $267.75 / $267.75	Facility		$267.75	$267.75	$267.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.55 / $337.01 / $594.50	Professional		$216.55	$337.01	$594.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $272.82 / $555.00 / $597.00	Facility		$272.82	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $345.35 / $823.31	Professional		$187.78	$345.35	$823.31
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 $235.43 / $338.98 / $831.02	Professional		$235.43	$338.98	$831.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $191.70 / $191.70 / $744.90	Facility		$191.70	$191.70	$744.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $216.55 / $350.49 / $594.50	Professional		$216.55	$350.49	$594.50