Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.50 / $2,465.00 / $9,868.00	Facility		$176.50	$2,465.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $220.81 / $407.39	Professional		$131.72	$220.81	$407.39
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 $195.97 / $248.90 / $543.58	Professional		$195.97	$248.90	$543.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.43 / $199.43 / $6,213.00	Facility		$199.43	$199.43	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.43 / $199.43 / $353.16	Professional		$199.43	$199.43	$353.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.48 / $244.48 / $14,648.00	Facility		$244.48	$244.48	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.11 / $312.58 / $795.88	Professional		$155.11	$312.58	$795.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $180.00 / $388.31	Facility		$100.00	$180.00	$388.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $294.13 / $418.86 / $617.75	Professional		$294.13	$418.86	$617.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.58 / $252.58 / $252.58	Facility		$252.58	$252.58	$252.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $269.88 / $560.08	Professional		$196.13	$269.88	$560.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $244.48 / $555.00 / $597.00	Facility		$244.48	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $325.33 / $788.81	Professional		$170.90	$325.33	$788.81
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 $218.72 / $317.86 / $740.57	Professional		$218.72	$317.86	$740.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $172.19 / $172.19 / $635.26	Facility		$172.19	$172.19	$635.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $330.20 / $560.08	Professional		$196.13	$330.20	$560.08