Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $2,465.00 / $9,868.00	Facility		$217.50	$2,465.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $253.37 / $470.15	Professional		$164.02	$253.37	$470.15
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 $225.23 / $286.05 / $647.57	Professional		$225.23	$286.05	$647.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $6,213.00	Facility		$251.69	$251.69	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $251.69 / $404.95	Professional		$251.69	$251.69	$404.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $306.83 / $14,648.00	Facility		$306.83	$306.83	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $361.18 / $908.08	Professional		$188.60	$361.18	$908.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $215.24 / $279.81 / $484.29	Facility		$215.24	$279.81	$484.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $333.70 / $457.05 / $700.09	Professional		$333.70	$457.05	$700.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.56 / $286.56 / $286.56	Facility		$286.56	$286.56	$286.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.86 / $360.81 / $636.49	Professional		$201.86	$360.81	$636.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $555.00 / $597.00	Facility		$306.83	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $380.34 / $893.31	Professional		$212.99	$380.34	$893.31
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 $250.59 / $358.20 / $898.44	Professional		$250.59	$358.20	$898.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $215.50 / $215.50 / $757.96	Facility		$215.50	$215.50	$757.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $215.50 / $399.35 / $636.49	Professional		$215.50	$399.35	$636.49