Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.07 / $2,465.00 / $9,868.00	Facility		$205.07	$2,465.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.93 / $262.14 / $457.04	Professional		$152.93	$262.14	$457.04
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 $220.17 / $279.63 / $639.04	Professional		$220.17	$279.63	$639.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $232.92 / $232.92 / $6,213.00	Facility		$232.92	$232.92	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $232.92 / $395.73	Professional		$232.92	$232.92	$395.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $284.76 / $14,648.00	Facility		$284.76	$284.76	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.29 / $348.87 / $842.36	Professional		$181.29	$348.87	$842.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $207.60 / $450.83	Facility		$120.00	$207.60	$450.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $328.27 / $466.97 / $688.62	Professional		$328.27	$466.97	$688.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.89 / $281.89 / $281.89	Facility		$281.89	$281.89	$281.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.09 / $301.26 / $625.21	Professional		$213.09	$301.26	$625.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $555.00 / $597.00	Facility		$284.76	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $195.89 / $362.51 / $830.27	Professional		$195.89	$362.51	$830.27
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 $247.09 / $352.38 / $856.65	Professional		$247.09	$352.38	$856.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $200.03 / $200.03 / $765.73	Facility		$200.03	$200.03	$765.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.09 / $368.60 / $625.21	Professional		$213.09	$368.60	$625.21