Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.28 / $2,465.00 / $9,868.00	Facility		$208.28	$2,465.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $228.84 / $490.47	Professional		$151.01	$228.84	$490.47
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 $224.69 / $285.38 / $595.49	Professional		$224.69	$285.38	$595.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $241.06 / $241.06 / $6,213.00	Facility		$241.06	$241.06	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $241.06 / $403.87	Professional		$241.06	$241.06	$403.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $14,648.00	Facility		$295.49	$295.49	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $331.57 / $858.33	Professional		$179.47	$331.57	$858.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $216.25 / $468.52	Facility		$125.00	$216.25	$468.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $333.08 / $459.47 / $703.79	Professional		$333.08	$459.47	$703.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.62 / $287.62 / $287.62	Facility		$287.62	$287.62	$287.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.39 / $361.17 / $637.11	Professional		$183.39	$361.17	$637.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $555.00 / $597.00	Facility		$295.49	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $364.66 / $875.18	Professional		$194.72	$364.66	$875.18
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 $244.02 / $359.53 / $849.82	Professional		$244.02	$359.53	$849.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $207.17 / $207.17 / $717.23	Facility		$207.17	$207.17	$717.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.87 / $400.82 / $637.11	Professional		$200.87	$400.82	$637.11